Individual provider Active NPI

Kristen S Romesburg, DO

  • Family Medicine Physician
  • Claysville, PA
National Provider Identifier
1467698225
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014822 Issued in PA
Practice address
1263 State Route 40 W
PO Box N
Claysville, PA 15323-1277
Phone
(724) 663-7731
Fax
(724) 663-9022
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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 OS014822 PA Primary

Addresses

Primary practice location

1263 State Route 40 W
PO Box N
Claysville, PA 15323-1277

Mailing address

1263 State Route 40 W
PO Box N
Claysville, PA 15323-1277
Phone (724) 663-7731

Other identifiers 4

IdentifierTypeStateIssuer
074430OtherPAMEDICARE GROUP PTAN
001526106OtherPAHIGHMARK GROUP NUMBER
1024870700002MedicaidPA
1184675035OtherPAGROUP NPI NUMBER

Other names 1

  • Kristen A Scalise Former name

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
I20100917000874 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5799800462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1263 Route 40 W
Claysville, PA 15323-1277
Phone (724) 663-7731

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Claysville Family Practice Inc Family Medicine CurrentSince May 1, 2014 Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine Current Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Preferred Primary Care Physicians Family Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1263 State Route 40 W
Claysville, PA 15323
Phone (724) 663-7731

4000 Waterdam Plaza Dr
Ste 280
McMurray, PA 15317
Phone (724) 260-0830

Interoperability endpoints

  • Direct secure messaging: kristenromesburgdo@preferred.medentdirect.com

Organizations & group practices 4

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 5

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1467698225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 STATE ROUTE 40 W",
            "address_2": "PO BOX N",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153231277",
            "telephone_number": "724-663-7731",
            "fax_number": "724-663-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 STATE ROUTE 40 W",
            "address_2": "PO BOX N",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153231277",
            "telephone_number": "724-663-7731",
            "fax_number": "724-663-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMESBURG",
        "first_name": "KRISTEN",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "074430",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP NUMBER",
            "identifier": "001526106",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024870700002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1184675035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SCALISE",
            "middle_name": "A",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claysville, PA

Sources for this page

Verify at the official NPI Registry.