Active NPI
John R Vroom, MD
- Pediatric Allergy/Immunology Physician
- Springfield, VA
National Provider Identifier
1821153172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- 0101020960
- Practice address
- 6501Loisdale Court
Springfield, VA 22150-1885 - Phone
- (703) 922-1283
- Fax
- (703) 922-1041
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | D0020026 | MD | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | 0101020960 | VA | Primary |
| Pediatric Allergy/Immunology Physician | 2080P0201X | MD6449 | DC |
Addresses
Primary practice location
6501Loisdale Court
Springfield, VA 22150-1885
Mailing address
Kaiser Permanente Mid Atlantic Permanente Medical Group
2101 East Jefferson Street Ppqa Medicare Compliance
Rockville, MD 20852-4908
Phone (301) 816-6650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6449 | DC | MD | Pediatric Allergy/Immunology Physician |
| D0020026 | MD | MD | Pediatric Allergy/Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1821153172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP",
"address_2": "2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-6650",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501LOISDALE COURT",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501885",
"telephone_number": "703-922-1283",
"fax_number": "703-922-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VROOM",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "MD",
"license": "D0020026",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "VA",
"license": "0101020960",
"primary": true
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "DC",
"license": "MD6449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.