Individual provider Active NPI

Roxane Hionis, MD

  • Internal Medicine Physician
  • Wayne, PA
National Provider Identifier
1609847839
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD045841L Issued in PA
Practice address
241 Conestoga Rd
Suite B
Wayne, PA 19087-3948
Phone
(610) 688-5266
Fax
(610) 975-0720
NPI assigned
Jan 27, 2006
Last updated
Jul 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD045841L PA Primary

Addresses

Primary practice location

241 Conestoga Rd
Suite B
Wayne, PA 19087-3948

Mailing address

241 Conestoga Rd
Suite B
Wayne, PA 19087-3948
Phone (610) 688-5266

Other identifiers 2

IdentifierTypeStateIssuer
001292536MedicaidPA
1851575005OtherPAGROUP NPI

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
I20060214000403 PA Practitioner - Internal Medicine 2769497650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jon Yardney, M.D. LLCGroup PAC ID 0547235814, 3 clinicians

Practice addresses (Care Compare)

241 Conestoga Rd
Suite B
Wayne, PA 19087-3948
Phone (610) 688-5266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045841LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates Laboratory Past Accepting new patients
Copeland - Beajow Medical Institute, CHTD Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roxane.hionis@jyml.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1609847839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CONESTOGA RD",
            "address_2": "SUITE B",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873948",
            "telephone_number": "610-688-5266",
            "fax_number": "610-975-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CONESTOGA RD",
            "address_2": "SUITE B",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873948",
            "telephone_number": "610-688-5266",
            "fax_number": "610-975-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIONIS",
        "first_name": "ROXANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD045841L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001292536",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1851575005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.