Active NPI
Toni Denise Rogers, M.D.
- Internal Medicine Physician
- Beavercreek, OH
National Provider Identifier
1821047473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-074656
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089494 | Medicaid | OH | |
| 000000559820 | Other | OH | ANTHEM FAYETTE |
| 000000570544 | Other | OH | ANTHEM-COMMUNITY |
Other names 1
- Toni Denise Sublett
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-074656 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Springfield, OH
- NPI 1326097502
-
- Emergency Medicine Physician
- Washington Court House, OH
- NPI 1609056548
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1588659841
-
- Emergency Medicine Physician
- London, OH
- NPI 1720089766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.