NPIMap

Individual provider Active NPI

David R Roggen, M.D.

  • Internal Medicine Physician
  • Pikesville, MD
National Provider Identifier
1992713622
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D35844 Issued in MD
Practice address
4000 Old Court Rd
Suite 301
Pikesville, MD 21208-6417
Phone
(410) 653-0000
Fax
(410) 653-5531
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D35844 MD Primary

Addresses

Primary practice location

4000 Old Court Rd
Suite 301
Pikesville, MD 21208-6417

Mailing address

4000 Old Court Rd
Suite 301
Pikesville, MD 21208-6417
Phone (410) 653-0000

Other identifiers 3

IdentifierTypeStateIssuer
CN6601OtherMDR/R MEDICARE GROUP #
061141700MedicaidMD
110167456OtherMDR/R MEDICARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000925 MD Practitioner - Internal Medicine 5597950030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baltimore Suburban Health LLCGroup PAC ID 1850394677, 3 clinicians

Practice addresses (Care Compare)

10085 Red Run Blvd
Suite 306
Owings Mills, MD 21117-4832
Phone (410) 653-0000

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Suburban Health, LLC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medical Billing Acquisitions LLC Past Accepting new patients
Northwest Hospital Center, Inc. Past Accepting new patients
Oral Medicine Consultants Past Accepting new patients

Locations

10085 Red Run Blvd
Ste 306
Owings Mills, MD 21117
Phone (410) 581-7804

10085 Red Run Blvd
Owings Mills, MD 21117
Phone (410) 363-3767

4000 Old Court Rd
Ste 301
Pikesville, MD 21208
Phone (410) 496-7700

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Interoperability endpoints

  • Direct secure messaging: david.roggen.1@14466.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14466/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/136fea15-c667-40bc-9ed2-b1115d62123b/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1992713622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "SUITE 301",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086417",
            "telephone_number": "410-653-0000",
            "fax_number": "410-653-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "SUITE 301",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086417",
            "telephone_number": "410-653-0000",
            "fax_number": "410-653-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGEN",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D35844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "CN6601",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061141700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROVIDER #",
            "identifier": "110167456",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.