Individual provider Active NPI

Michelle M Roeser, MD

  • Otolaryngology Physician
  • Springfield, VA
National Provider Identifier
1831113919
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
48747 Issued in MN
Practice address
8314 Traford LN
C
Springfield, VA 22152-1651
Phone
(703) 644-7804
Fax
(703) 644-1508
NPI assigned
Jul 26, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 48747 MN Primary

Addresses

Primary practice location

8314 Traford LN
C
Springfield, VA 22152-1651

Mailing address

8314 Traford LN
C
Springfield, VA 22152-1651
Phone (703) 644-7804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000698 DC Practitioner - Otolaryngology 7416950993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists of Northern VAGroup PAC ID 6608761762, 18 clinicians

Practice addresses (Care Compare)

6564 Loisdale CT
Suite 205
Springfield, VA 22150-1812
Phone (703) 644-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as individual
Quality
65.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48747MNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Specialists of Northern VA Otolaryngology CurrentSince Aug 1, 2010 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

6231 Leesburg Pike
Ste 500
Falls Church, VA 22044
Phone (703) 536-1817

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530

6564 Loisdale Ct
Ste 205
Springfield, VA 22150
Phone (703) 644-7800

8314 Traford Ln
Ste C
Springfield, VA 22152
Phone (703) 644-7800

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1831113919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8314 TRAFORD LN",
            "address_2": "C",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521651",
            "telephone_number": "703-644-7804",
            "fax_number": "703-644-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8314 TRAFORD LN",
            "address_2": "C",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521651",
            "telephone_number": "703-644-7804",
            "fax_number": "703-644-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "48747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.