Organization Active NPI

Rockville Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Rockville, MD
National Provider Identifier
1891121729
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ROCKVILLE GYNECOLOGY LLC
Practice address
15204 Omega Dr Ste 200
Rockville, MD 20850-4814
Phone
(301) 330-7002
Fax
(301) 330-7006
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Carolynn M Young, MDNPI 1285615195
Title
Owner
Phone
(301) 279-7622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

15204 Omega Dr Ste 200
Rockville, MD 20850-4814

Mailing address

15204 Omega Dr Ste 200
Rockville, MD 20850-4814
Phone (301) 330-7002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131122000003 DC Part B Supplier - Clinic/Group Practice 0648406652 Receives reassigned benefits from 7 practitioners
Practice locations: Rockville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1075668Rockville Gynecology LLC15204 Omega Drive, Suite 200, Rockville, MD 20850ComplianceFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

6401 America Blvd
Ste 200
Hyattsville, MD 20782
Phone (202) 546-4504

9715 Medical Center Dr
Ste 530
Rockville, MD 20850
Phone (240) 464-6642

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1891121729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15204 OMEGA DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504814",
            "telephone_number": "301-330-7002",
            "fax_number": "301-330-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 OMEGA DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504814",
            "telephone_number": "301-330-7002",
            "fax_number": "301-330-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CAROLYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-279-7622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.