NPIMap

Individual provider Active NPI

Robert Supplee, DO

  • Emergency Medicine Physician
  • Coatesville, PA
National Provider Identifier
1730131574
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS008182L Issued in PA
Practice address
201 Reeceville Rd
Coatesville, PA 19320-1542
Phone
(610) 383-8518
Fax
(610) 384-2597
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS008182L PA Primary

Addresses

Primary practice location

201 Reeceville Rd
Coatesville, PA 19320-1542

Mailing address

803 N Reeds Rd
Downingtown, PA 19335-4560
Phone (610) 383-8518

Other practice location 1

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 738-6414

Other identifiers 1

IdentifierTypeStateIssuer
0016974720001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000348 PA Practitioner - Emergency Medicine 7315983277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ephrata Community HospitalGroup PAC ID 4981514445, 35 clinicians

Practice addresses (Care Compare)

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42459GAMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Jan 6, 2020 Accepting new patients
Ephrata Community Hospital CurrentSince Jun 28, 2001 Accepting new patients
Phoenixville Clinic Company LLC Emergency Medicine CurrentSince Jan 6, 2020 Accepting new patients
Ephrata Community Hospital Emergency Medicine CurrentSince Jun 28, 2001 Accepting new patients
Ephrata Community Hospital Current Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine Past Accepting new patients
Wellspan Medical Group Emergency Medicine Past Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

169 Martin Ave
#1002
Ephrata, PA 17522
Phone (717) 738-6818

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

Interoperability endpoints

  • Direct secure messaging: rsupplee14044@wellspan.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1730131574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N REEDS RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354560",
            "telephone_number": "610-383-8518",
            "fax_number": "610-384-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201542",
            "telephone_number": "610-383-8518",
            "fax_number": "610-384-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-738-6414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPPLEE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS008182L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016974720001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.