Individual provider Active NPI

Jessica Joy Rosenberg

  • Gastroenterology Physician
  • Frederick, MD
National Provider Identifier
1942734694
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0099594 Issued in MD
Practice address
7109 Guilford Dr Ste 300
Frederick, MD 21704-5266
Phone
(013) 695-6800
Fax
(301) 695-6891
NPI assigned
Apr 19, 2017
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0099594 MD Primary

Addresses

Primary practice location

7109 Guilford Dr Ste 300
Frederick, MD 21704-5266

Mailing address

7109 Guilford Dr Ste 300
Frederick, MD 21704-5266
Phone (301) 695-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240613003050 MD Practitioner - Gastroenterology 9830632264 Reassigns benefits to 1 organization
I20240613003187 DC Practitioner - Gastroenterology 9830632264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Pennsylvania State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Gastroenterology Associates PAGroup PAC ID 8022058650, 16 clinicians

Practice addresses (Care Compare)

15215 Shady Grove Rd
Suite 203
Rockville, MD 20850-6207
Phone (301) 695-6800

7109 Guilford Dr
Suite 300
Frederick, MD 21704-5266
Phone (301) 695-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Gastroenterology Associates PA Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7109 Guilford Dr
Ste 300
Frederick, MD 21704
Phone (301) 695-6800

15215 Shady Grove Rd
Ste 203
Rockville, MD 20850
Phone (301) 500-0374

3430 Worthington Blvd
Ste 206
Urbana, MD 21704
Phone (301) 695-6800

Interoperability endpoints

  • Direct secure messaging: jrosenberg3529676@direct.trinity-health.org

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 2

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1942734694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 GUILFORD DR STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045266",
            "telephone_number": "301-695-6800",
            "fax_number": "301-695-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 GUILFORD DR STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045266",
            "telephone_number": "013-695-6800",
            "fax_number": "301-695-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0099594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.