Active NPI
Stephen G Roda, DO
- Emergency Medicine Physician
- Lancaster, PA
National Provider Identifier
1649231515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS005569L
- Practice address
- 90 Good Dr Ste 101
Lancaster, PA 17603-4360 - Phone
- (717) 299-3020
- Fax
- (717) 299-4655
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS005569L | PA | Primary |
Addresses
Primary practice location
90 Good Dr Ste 101
Lancaster, PA 17603-4360
Mailing address
90 Good Dr Ste 101
Lancaster, PA 17603-4360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012367330001 | Medicaid | PA | |
| 01380302 | Other | PA | CAPITAL BLUE CROSS |
| 1813 | Other | PA | HIGHMARK BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sroda93135@phsdirect.pinnaclehealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.61 of 100
- Quality
- 83.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Lebanon Emergency Physicians PC | Past | Accepting new patients | |
| Medexpress Urgent Care, PC - Monaca | Emergency Medicine | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
90 Good Dr
Ste 101
Lancaster, PA 17603
Phone (717) 299-3020
Organizations & group practices 6
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.
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- NPI 1114955010
-
- Internal Medicine Physician
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- NPI 1013441690
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
-
- Hematology & Oncology Physician
- Lititz, PA
- NPI 1427578699
-
- Specialist
- Lebanon, PA
- NPI 1508907262
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1649231515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 GOOD DR STE 101",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 GOOD DR STE 101",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034360",
"telephone_number": "717-299-3020",
"fax_number": "717-299-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODA",
"first_name": "STEPHEN",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS005569L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012367330001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01380302",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1813",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sroda93135@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "90 Good Dr Ste 101",
"city": "Lancaster",
"state": "PA",
"country_code": "US",
"postal_code": "176034360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.