Individual provider Active NPI

Toni Denise Rogers, M.D.

  • Internal Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1821047473
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-074656 Issued in OH
Practice address
3371 Kemp Rd
Beavercreek, OH 45431-2514
Phone
(937) 384-4841
Fax
(937) 522-7626
NPI assigned
May 10, 2006
Last updated
Dec 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-074656 OH Primary

Addresses

Primary practice location

3371 Kemp Rd
Beavercreek, OH 45431-2514

Mailing address

4333 Pine Tree PL
Springfield, OH 45504-5124
Phone (937) 408-6605

Other identifiers 3

IdentifierTypeStateIssuer
2089494MedicaidOH
000000559820OtherOHANTHEM FAYETTE
000000570544OtherOHANTHEM-COMMUNITY

Other names 1

  • Toni Denise Sublett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-074656OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Urgent Care Inc. Past Accepting new patients
Hospital Services Medical Group of Clark County Inc Internal Medicine Past Accepting new patients
Fayette County Emergency Physicians, Inc. Past Accepting new patients
Madison Emergency Physicians Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1821047473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 PINE TREE PL",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455045124",
            "telephone_number": "937-408-6605",
            "fax_number": "937-390-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 KEMP RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312514",
            "telephone_number": "937-384-4841",
            "fax_number": "937-522-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TONI",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-074656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089494",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FAYETTE",
            "identifier": "000000559820",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-COMMUNITY",
            "identifier": "000000570544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "SUBLETT",
            "middle_name": "DENISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.