Active NPI
Mary Dunne Roberts, MD
- Pediatric Endocrinology Physician
- Bethesda, MD
National Provider Identifier
1841498425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- SC 23310
- Practice address
- 10 Center Dr
BLDG CRC Room 1-3330 Msoc 1103
Bethesda, MD 20892-0001 - Phone
- (301) 594-1176
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | SC 23310 | SC | Primary |
Addresses
Primary practice location
10 Center Dr
BLDG CRC Room 1-3330 Msoc 1103
Bethesda, MD 20892-0001
Mailing address
198 Halpine Rd Apt 1234
Rockville, MD 20852-7612
Phone (240) 221-3057
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC 23310 | SC | MD | Pediatric Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841498425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 HALPINE RD APT 1234",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208527612",
"telephone_number": "240-221-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "BLDG CRC ROOM 1-3330 MSOC 1103",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-594-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MARY",
"middle_name": "DUNNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "SC",
"license": "SC 23310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.