Individual provider Active NPI

Kwandaa Marie Roberts, DO

  • Obstetrics & Gynecology Physician
  • Meadowbrook, PA
National Provider Identifier
1700817251
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS013627 Issued in PA
Practice address
1650 Huntingdon Pike
Suite 118
Meadowbrook, PA 19046-8004
Phone
(215) 914-2600
Fax
(215) 938-9819
NPI assigned
Jul 5, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS013627 PA Primary
Obstetrics & Gynecology Physician 207V00000X 02008645A IN

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 118
Meadowbrook, PA 19046-8004

Mailing address

1650 Huntingdon Pike Ste 118
Meadowbrook, PA 19046-8005
Phone (215) 914-2600

Other practice location 1

1205 Hadley Rd Ste 120
Mooresville, IN 46158-1934
Phone (317) 834-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060823000512 PA Practitioner - Obstetrics/Gynecology 3971506478 Reassigns benefits to 3 organizations
I20251028003198 IN Practitioner - Obstetrics/Gynecology 3971506478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Obhg Pennsylvania PCGroup PAC ID 1355684507, 8 clinicians

Practice addresses (Care Compare)

1205 Hadley Rd
Suite 120
Mooresville, IN 46158-1934
Phone (317) 834-8950

701 E Marshall St
West Chester, PA 19380-4412
Phone (864) 908-3530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02008645AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 7, 2025 Accepting new patients
Obhg Pennsylvania PC Obstetrics & Gynecology CurrentSince Aug 27, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Nov 1, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jun 16, 2025 Accepting new patients
HR Physician Services CurrentSince Jan 1, 2013 Accepting new patients
Wellspan Medical Group Current Accepting new patients
HR Physician Services CurrentSince Jan 1, 2013 Accepting new patients
Wellspan Medical Group CurrentSince Jul 7, 2025 Accepting new patients
HR Physician Services Obstetrics & Gynecology Current Accepting new patients
Geisinger Clinic CurrentSince Jun 16, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Nov 1, 2025 Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

100 N Academy Ave
Danville, PA 17822

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

845 Helen Dr
Lebanon, PA 17042
Phone (717) 273-8835

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

735 Fitzwatertown Rd
Ste 4
Willow Grove, PA 19090
Phone (215) 914-4400

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: kroberts482059@wellspan.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1700817251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE STE 118",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468005",
            "telephone_number": "215-914-2600",
            "fax_number": "215-938-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 118",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-914-2600",
            "fax_number": "215-938-9819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Hadley Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461581934",
            "country_code": "US",
            "telephone_number": "317-834-8950",
            "fax_number": "317-834-8951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KWANDAA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS013627",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02008645A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.