Individual provider Active NPI

Kamela L Roth, PAC

  • Surgical Physician Assistant
  • Doylestown, PA
National Provider Identifier
1033437819
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
OA000243L Issued in PA
Practice address
599 W State St
Suite 301
Doylestown, PA 18901-2567
Phone
(215) 489-2066
Fax
(215) 489-1166
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X OA000243L PA Primary

Addresses

Primary practice location

599 W State St
Suite 301
Doylestown, PA 18901-2567

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other names 1

  • Mrs. Kamela L King Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kamela.king@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000163 PA Practitioner - Physician Assistant 6103959440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Cancer Specialists P.C.Group PAC ID 7214194091, 44 clinicians

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 135
Langhorne, PA 19047-1212
Phone (215) 750-5050

599 W State St
Doylestown, PA 18901-2567
Phone (215) 345-8444

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA000243LPAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince May 12, 2021 Accepting new patients
Bux-Mont Oncology Hematology Medical Associates PC Current Accepting new patients
Hematology-Oncology Group, P.C. Current Accepting new patients
Greater Phila Cancer & Hematology Specialists PC Current Accepting new patients
Alliance Cancer Specialists CurrentSince Feb 12, 2024 Accepting new patients

Locations

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

599 W State St
Ste 312
Doylestown, PA 18901
Phone (215) 345-8444

599 W State St
Ste 301
Doylestown, PA 18901
Phone (215) 348-7195

1203 Langhorne Newtown Rd
Ste 135
Langhorne, PA 19047
Phone (215) 612-5250

915 Lawn Ave
Ste 202
Sellersville, PA 18960
Phone (215) 453-3300

Interoperability endpoints

  • Direct secure messaging: kking3371991@direct.trinity-health.org

Organizations & group practices 6

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 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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1033437819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W STATE ST",
            "address_2": "SUITE 301",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "215-489-2066",
            "fax_number": "215-489-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KAMELA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "OA000243L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kamela.king@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "599 W State St",
            "address_2": "Suite 301",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189012567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAMELA",
            "last_name": "KING",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "PAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.