Individual provider Active NPI

Roberta F. Lee-Powell, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1336164839
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005603L Issued in PA
Practice address
1200 Callowhill St
Suite 101
Philadelphia, PA 19123-3658
Phone
(215) 825-8220
Fax
(215) 825-8254
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005603L PA Primary

Addresses

Primary practice location

1200 Callowhill St
Suite 101
Philadelphia, PA 19123-3658

Mailing address

1500 Market Street
LM 500 West Tower
Philadelphia, PA 19120-2100
Phone (215) 985-2595

Other identifiers 6

IdentifierTypeStateIssuer
0104270003OtherPAAMERICHOICE
001042730001MedicaidPA
1010001OtherPAKEYSTONE MERCY
19749OtherPAAETNA
02895OS005603LOtherPAHEALTH PARTNERS
0058413000OtherPAKEYSTONE HEALTH PLAN EAST

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000228 PA Practitioner - Family Practice 5597756668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

1500 Market St
Philadelphia, PA 19102-2100
Phone (267) 615-1720

5753 Wayne Ave
Philadelphia, PA 19144-3347
Phone (215) 848-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005603LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation Current Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Public Health Management Corporation CurrentSince Dec 12, 2006 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Aug 1, 2010 Accepting new patients
Powell Family Medicine Associates Family Medicine PastSince Jul 1, 1986 Accepting new patients

Locations

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

5753 Wayne Ave
Philadelphia, PA 19144
Phone (215) 848-8800

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Interoperability endpoints

  • Direct secure messaging: robertaleepowell@nncc.allscriptsdirect.net
  • Direct secure messaging: rleepowell579458@direct.ochin.org
  • Direct secure messaging: roberta.lee-powell@direct.einstein.edu

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 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1336164839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "LM 500 WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202100",
            "telephone_number": "215-985-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-825-8220",
            "fax_number": "215-825-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-POWELL",
        "first_name": "ROBERTA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005603L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0104270003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001042730001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1010001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "19749",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "02895OS005603L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0058413000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.