Active NPI
Roberta F. Lee-Powell, DO
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS005603L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104270003 | Other | PA | AMERICHOICE |
| 001042730001 | Medicaid | PA | |
| 1010001 | Other | PA | KEYSTONE MERCY |
| 19749 | Other | PA | AETNA |
| 02895OS005603L | Other | PA | HEALTH PARTNERS |
| 0058413000 | Other | PA | KEYSTONE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS005603L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Management Corporation | Current | Accepting new patients | |
| Einstein Community Health Associates, Inc | Family Medicine | Current | Accepting new patients |
| Public Health Management Corporation | Current | Accepting new patients | |
| Einstein Community Health Associates, Inc | Current | Accepting new patients | |
| Powell Family Medicine Associates | Family Medicine | Past | 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
- robertaleepowell@nncc.allscriptsdirect.net
- rleepowell579458@direct.ochin.org
- 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.
-
- Family Medicine Physician
- Phila, PA
- NPI 1558316109
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1568481562
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1427662931
-
- Federally Qualified Health Center (FQHC)
- Phila, PA
- NPI 1417382888
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.