Active NPI
Melvin I. Roat, MD, LLC
- Ophthalmology Physician
- Wynnewood, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD033859E
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 193065510 | Other | PA | UNITED HEALTHCARE |
| 2632612000 | Other | PA | KEYSTONE |
| 1151931 | Other | PA | AETNA HMO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | miroatmd@melvinroatmd.direct.eyemdemr.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Ophthalmology Physician
- Media, PA
- NPI 1912945783
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.