Individual provider Active NPI

Roman Roytman, MD

  • Psychiatry Physician
  • King of Prussia, PA
National Provider Identifier
1689968570
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
249172 Issued in MA
Practice address
210 Mall Blvd Ste 204
King of Prussia, PA 19406-3260
Phone
(484) 808-5340
Fax
(888) 420-6838
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 249172 MA Primary

Addresses

Primary practice location

210 Mall Blvd Ste 204
King of Prussia, PA 19406-3260

Mailing address

210 Mall Blvd Ste 204
King of Prussia, PA 19406-3260
Phone (484) 808-5340

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
I20160705000938 PA Practitioner - Psychiatry 7911299383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mhmo, Inc.Group PAC ID 2163400599, 35 clinicians

Practice addresses (Care Compare)

2250 Hickory Rd
Suite 100
Plymouth Meeting, PA 19462-1047
Phone (610) 825-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249172MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mhmo, Inc. CurrentSince Feb 19, 2018 Accepting new patients

Locations

210 Mall Blvd
Ste 204
King of Prussia, PA 19406
Phone (484) 808-5340

523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1689968570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MALL BLVD STE 204",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063260",
            "telephone_number": "484-808-5340",
            "fax_number": "888-420-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MALL BLVD STE 204",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063260",
            "telephone_number": "484-808-5340",
            "fax_number": "888-420-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTMAN",
        "first_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "249172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.