DR. CHARITA LEQUISSE ROQUE M.D., M.P.H.
NPI 1487002002
Obstetrics & Gynecology - Gynecologic Oncology in Baltimore, MD

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0336(410) 550-0196 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2022, May 6, 2021 (2 updates tracked since 2021).

About Dr. Charita Lequisse Roque M.d., M.p.h. NPPES

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

DR. CHARITA LEQUISSE ROQUE M.D., M.P.H. (NPI 1487002002) is an individual gynecologic oncology provider in Baltimore, Maryland, licensed in Maryland (D89575) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1487002002
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameDR. CHARITA LEQUISSE ROQUECredential: M.D., M.P.H.
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Fax(410) 550-0196
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 25, 2016
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1487002002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in MD · D89575
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
4940 EASTERN AVE, Baltimore, MD 21224

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-7800

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Charita Lequisse Roque M.d., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385064625
PECOS Enrollment IDI20220829003618
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.99
Promoting Interoperability100
Improvement Activities40
Cost86.02

Other Providers at the Same Location NPPES 20

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

Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Obstetrics & Gynecology (Gynecology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224

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 Charita Roque's NPI number?

The NPI number for Charita Roque is 1487002002. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Charita Roque located?

Charita Roque practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0336.

What is Charita Roque's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Charita Roque enrolled in Medicare?

Yes. Charita Roque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charita Roque accept?

Health plans from McLaren Health Plan Community and Priority Health list Charita Roque as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charita Roque affiliated with any hospitals?

According to CMS data, Charita Roque is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Charita Roque was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.