Roline L Adolphine, MD
Individual provider Active NPI Surgical Critical Care Physician · Allentown, PA
NPI 1740459684 · NPPES record last updated Mar 8, 2017
Key facts
- NPI
- 1740459684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Critical Care Physician 2086S0102X
- License
- MD432125 (PA)
- Practice address
- 1240 S Cedar Crest Blvd
Suite 308
Allentown, PA 18103-6369 - Phone
- (610) 402-1350
- Fax
- (610) 402-1356
- NPI assigned
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penn State Health Medical Group LLC
Practice addresses (Care Compare)
429 N 21St St
Camp Hill, PA 17011-2202
Phone (717) 761-7244
Hospital & facility affiliations
- Penn State Health Holy Spirit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081002000349 | PA | Practitioner - General Surgery |
2769550870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients | |
| Penn State Health Holy Spirit Medical Center | Past | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
429 N 21st St
Camp Hill, PA 17011
Phone (717) 761-7244
890 Poplar Church Rd
Ste 210
Camp Hill, PA 17011
Phone (717) 724-6320
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | MD432125 | PA | Yes |
Addresses
Primary practice location
1240 S Cedar Crest Blvd
Suite 308
Allentown, PA 18103-6369
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
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All providers in Allentown, PA · Surgical Critical Care Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.