DR. ROBERTO A DEPETRIS MD
NPI 1336231364
Internal Medicine - Pulmonary Disease in Bowie, MD

Q: What is Roberto Depetris's NPI number?

The NPI number for Roberto Depetris is 1336231364. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Roberto Depetris's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Depetris was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2006PECOS Enrolled

14300 GALLANT FOX LANE, 122, BOWIE, MD 20715(301) 464-0770(301) 464-1155 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Roberto A Depetris Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERTO A DEPETRIS MD (NPI 1336231364) is an individual pulmonary disease provider in Bowie, Maryland, licensed in Maryland (D19252) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336231364

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. ROBERTO A DEPETRISCredential: MD

Location Address14300 GALLANT FOX LANE, 122Bowie, MD 20715

Mailing Address14300 Gallant Fox Lane, 122Bowie, MD 20715 · (301) 464-0770 · Fax (301) 464-1155

Phone(301) 464-0770

Fax(301) 464-1155

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1336231364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MD · D19252

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License D19252 (MD)

14300 GALLANT FOX LANE, Bowie, MD 20715

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roberto A Depetris Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERARD CHAMPALOUX MD

Family Medicine

14300 GALLANT FOX LANE, SUITE 110
BOWIE, MD 20715

Prince George's County (301) 262-6797

DJLS THERAPY SERVICES LLC

Social Worker (Clinical)

14300 GALLANT FOX LANE, SUITE 115
BOWIE, MD 20715

Prince George's County (571) 236-7012

GERARD P CHAMPALOUX MD

Family Medicine

14300 GALLANT FOX LANE, SUITE 110
BOWIE, MD 20715

Prince George's County (301) 262-6797

TABER CHIROPRACTIC, P.C.

Chiropractor

14300 GALLANT FOX LANE, SUITE 201
BOWIE, MD 20715

Prince George's County (301) 352-4500

PASSPORT HEALTH HOLDINGS, LLC

Community Health Worker

14300 GALLANT FOX LANE, SUITE 10
BOWIE, MD 20715

Prince George's County (877) 358-8648

MRS. ELLEN NARCISSE ADAMS P.T.

Physical Therapist

14300 GALLANT FOX LANE, SUITE 104
BOWIE, MD 20715

Prince George's County (301) 785-6980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Depetris's NPI number?

The NPI number for Roberto Depetris is 1336231364. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Roberto Depetris located?

Roberto Depetris practices at 14300 Gallant Fox Lane 122, Bowie, MD 20715. The listed phone number is (301) 464-0770.

What is Roberto Depetris's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Roberto Depetris enrolled in Medicare?

Yes. Roberto Depetris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roberto Depetris was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.