Individual provider Active NPI

Danielle Alexis Roe, MD

  • Family Medicine Physician
  • Blairsville, PA
National Provider Identifier
1700179587
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD451069 Issued in PA
Practice address
56 Club LN
Ste 102
Blairsville, PA 15717-7957
Phone
(724) 459-5203
Fax
(724) 459-0949
NPI assigned
May 26, 2011
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD451069 PA Primary

Addresses

Primary practice location

56 Club LN
Ste 102
Blairsville, PA 15717-7957

Mailing address

520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 850-6933

Other identifiers 1

IdentifierTypeStateIssuer
1029887530004MedicaidPA

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
I20150112001311 PA Practitioner - Family Practice 4082938550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Clinic, Inc.Group PAC ID 5294772463, 5 clinicians

Practice addresses (Care Compare)

943 4TH Ave
New Kensington, PA 15068-6409
Phone (724) 335-3334

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451069PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince May 1, 2021 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Jan 2, 2015 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 2, 2015 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Community Health Clinic, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince May 1, 2021 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. Past Accepting new patients
Latrobe Area Hospital, Inc. Family Medicine Past Accepting new patients
Community Health Clinic, Inc. PastSince Sep 9, 2024 Accepting new patients

Locations

56 Club Ln
Ste 102
Blairsville, PA 15717
Phone (724) 459-5203

218 S Maple Ave
Ste 102
Greensburg, PA 15601
Phone (724) 204-1801

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

943 4th Ave
New Kensington, PA 15068
Phone (724) 335-3334

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

6301 Forbes Ave
Ste 300
Pittsburgh, PA 15217
Phone (412) 421-2060

Interoperability endpoints

  • Direct secure messaging: danielle.roe.p1@direct.commhealthclinic.nextgenshare.com

Organizations & group practices 10

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 2

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1700179587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-850-6933",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLUB LN",
            "address_2": "STE 102",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177957",
            "telephone_number": "724-459-5203",
            "fax_number": "724-459-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "DANIELLE",
        "middle_name": "ALEXIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD451069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029887530004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

Verify at the official NPI Registry.