Individual provider Active NPI

Roquell E. Wyche, MD

  • Cardiovascular Disease Physician
  • Washington, DC
National Provider Identifier
1801069679
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD 33157 Issued in DC
Practice address
1015 I St NE
Washington, DC 20002-3747
Phone
(202) 812-4933
NPI assigned
Apr 11, 2008
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101281521 VA
Cardiovascular Disease Physician 207RC0000X D68161 MD
Cardiovascular Disease Physician 207RC0000X MD 33157 DC Primary

Addresses

Primary practice location

1015 I St NE
Washington, DC 20002-3747

Mailing address

1015 I St NE
Washington, DC 20002-3747
Phone (202) 812-4933

Other practice location 1

12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone (240) 964-8740

Other practice location 2

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (343) 447-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA, ND4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080717000072 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 9133292675 Reassigns benefits to 3 organizations
I20181206000565 MD Practitioner - Cardiovascular Disease (Cardiology) 9133292675 Reassigns benefits to 3 organizations
I20240522001599 VA Practitioner - Cardiovascular Disease (Cardiology) 9133292675 Reassigns benefits to 1 organization
I20250310002718 ND Practitioner - Cardiovascular Disease (Cardiology) 9133292675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
George Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.57 of 100Reported as group
Quality
59.34
Promoting interoperability
89
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 33157DCMDCardiovascular Disease Physician
D68161MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie County Healthcare Systems Inc CurrentSince Dec 5, 2024 Accepting new patients
Union Hospital of Cecil County CurrentSince Apr 15, 2022 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2025 Accepting new patients
Upmc Western Maryland Corporation Cardiovascular Disease CurrentSince Aug 1, 2021 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Dec 5, 2024 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince May 1, 2023 Accepting new patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Aug 7, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2025 Accepting new patients
MCV Associated Physicians CurrentSince May 2, 2024 Accepting new patients
Civista Medical Center, Inc. CurrentSince Nov 3, 2019 Accepting new patients
Civista Medical Center Inc CurrentSince Nov 3, 2019 Accepting new patients
McKenzie County Healthcare Systems Inc Cardiovascular Disease Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
Upmc Western Maryland Health Services, LLC Cardiovascular Disease Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients

Locations

106 Irving St NW
#3200N
Washington, DC 20010
Phone (202) 726-7474

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8690

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

701 Charles St
La Plata, MD 20646
Phone (301) 609-4000

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

525 N Main St
Watford City, ND 58854
Phone (701) 842-3771

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHJHBA

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1801069679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 I ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023747",
            "telephone_number": "202-812-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 I ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023747",
            "telephone_number": "202-812-4933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12502 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026491",
            "country_code": "US",
            "telephone_number": "240-964-8740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "343-447-3151",
            "fax_number": "434-584-5023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYCHE",
        "first_name": "ROQUELL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101281521",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D68161",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD 33157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.