Amrita Kaur Roderick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006805RX Issued in OH

Practice address

452 W Market St
Xenia, OH 45385-2815

Phone

(937) 376-8700

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TCN Behavioral Health Services, Inc.Group PAC ID 8224011135, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/tcn/r4/

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.

• TCN Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Xenia, OH
  • NPI 1336118256
  Medicare reassignment Care Compare group
• Butler County Community Health Consortium Inc

  • Primary Care Clinic/Center
  • Middletown, OH
  • NPI 1134142631
  NPD (past)
• Butler County Community Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Middletown, OH
  • NPI 1700821386
  NPD (past)
• TCN Behavioral Health Services, Inc

  • Psychiatry Physician
  • Fairborn, OH
  • NPI 1770725806
  NPD (past)
• Klinic Medical PLLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1740980630
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1609462589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-454-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815",
            "telephone_number": "937-376-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Commerce Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "453246336",
            "country_code": "US",
            "telephone_number": "937-879-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODERICK",
        "first_name": "AMRITA",
        "middle_name": "KAUR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006805RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Rivers
• Robert T Morrison MD LLC
• Ashley Roberts
• Jenifer Robinson
• Tiffany Rockey
• Kendall A Rodriguez, PA
• Jason Rollings
• Megan Ropp
• Emma Ross
• Randi Rothman, LSW

• Physician Assistant in Xenia, OH
• Providers in Xenia, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.

Verify at the official NPI Registry.