Active NPI
Anthony O Roberts MD PC
- Ophthalmology Physician
- Rockville, MD
National Provider Identifier
1982848073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D41973
- Legal business name
- ANTHONY O ROBERTS MD PC
- Practice address
- 9715 Medical Center Dr
Suite 502
Rockville, MD 20850-3320 - Phone
- (301) 279-0600
- NPI assigned
- Apr 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Roberts, MD
- Title
- Owner
- Phone
- (301) 279-0600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D41973 | MD | Primary |
Addresses
Primary practice location
9715 Medical Center Dr
Suite 502
Rockville, MD 20850-3320
Mailing address
12523 Grey Fox LN
Potomac, MD 20854-1903
Phone (301) 838-4258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453691600 | Medicaid | MD | |
| F199 | Other | MD | CAREFIRST BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9715 Medical Center Dr
Ste 502
Rockville, MD 20850
Phone (301) 279-0600
Practitioners & affiliated clinicians
Practitioners 1
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": "1240272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409011200000",
"number": "1982848073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12523 GREY FOX LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541903",
"telephone_number": "301-838-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR",
"address_2": "SUITE 502",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "301-279-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY O ROBERTS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-21",
"last_updated": "2014-08-26",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-279-0600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MD",
"license": "D41973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453691600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
"identifier": "F199",
"state": "MD"
}
],
"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 Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.