Organization Active NPI

Melvin I. Roat, MD, LLC

  • Ophthalmology Physician
  • Wynnewood, PA
National Provider Identifier
1598935447
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD033859E Issued in PA
Legal business name
MELVIN I. ROAT, MD, LLC
Practice address
100 E Lancaster Ave Ste 430
Wynnewood, PA 19096-3426
Phone
(610) 645-5755
Fax
(610) 566-1744
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Authorized official

Name
Dr. Melvin I Roat, MD
Title
Practice Owner
Phone
(610) 645-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD033859E PA Primary

Addresses

Primary practice location

100 E Lancaster Ave Ste 430
Wynnewood, PA 19096-3426

Mailing address

1019 Stanford Dr
Wynnewood, PA 19096-2031
Phone (610) 645-5755

Other practice location 1

1019 Stanford Dr
Wynnewood, PA 19096-2031
Phone (610) 645-5755

Other practice location 2

1098 W Baltimore Pike Ste 3405
Media, PA 19063-5139
Phone (610) 645-5744

Other identifiers 3

IdentifierTypeStateIssuer
0000 193065510OtherPAUNITED HEALTHCARE
2632612000OtherPAKEYSTONE
1151931OtherPAAETNA HMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miroatmd@melvinroatmd.direct.eyemdemr.com Direct

National Provider Directory

National Provider Directory

Locations

1098 W Baltimore Pike
Ste 3405
Media, PA 19063
Phone (610) 627-4490

100 E Lancaster Ave
Ofc
Wynnewood, PA 19096
Phone (610) 645-2008

Interoperability endpoints

  • Direct secure messaging: miroatmd@melvinroatmd.direct.eyemdemr.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1598935447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 STANFORD DR",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962031",
            "telephone_number": "610-645-5755",
            "fax_number": "610-645-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 430",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963426",
            "telephone_number": "610-645-5755",
            "fax_number": "610-566-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 Stanford Dr",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190962031",
            "country_code": "US",
            "telephone_number": "610-645-5755",
            "fax_number": "610-645-0264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1098 W Baltimore Pike Ste 3405",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635139",
            "country_code": "US",
            "telephone_number": "610-645-5744",
            "fax_number": "610-566-1744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELVIN I. ROAT, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "ROAT",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "610-645-5755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD033859E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000 193065510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2632612000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1151931",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miroatmd@melvinroatmd.direct.eyemdemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1098 W Baltimore Pike Ste 3405",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190635139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.