Individual provider Active NPI

Roger Massa Componovo, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • East Stroudsburg, PA
National Provider Identifier
1821168733
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD432295 Issued in PA
Practice address
600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263
Phone
(570) 421-7020
Fax
(570) 421-7091
NPI assigned
Nov 8, 2006
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 011695932 SC
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD432295 PA Primary

Addresses

Primary practice location

600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263

Mailing address

600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020

Other practice location 1

100 Wheatfield Dr Ste 2
Milford, PA 18337-7699
Phone (570) 421-7020

Other practice location 2

120 Burrus Blvd Ste 120
Brodheadsville, PA 18322-7812
Phone (570) 421-7020

Other practice location 3

100 Community Dr Ste 210
Tobyhanna, PA 18466-8987
Phone (570) 421-7020

Other identifiers 1

IdentifierTypeStateIssuer
MD432295OtherPAMEDICAL LICENSE

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
I20080822000185 PA Practitioner - Orthopedic Surgery 8527133784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Valley Orthopedics PCGroup PAC ID 6901899111, 20 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

100 Community Dr
Suite 210
Tobyhanna, PA 18466-8987
Phone (570) 421-7020

120 Burrus Blvd
Suite 120
Brodheadsville, PA 18322-7812
Phone (570) 421-7020

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

600 Plaza CT
Suite C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.13 of 100Reported as individual
Quality
61.96
Promoting interoperability
100
Improvement activities
40
Cost
61.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement38
Knee replacement74
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432295PAMDAdult Reconstructive Orthopaedic Surgery Physician
011695932SCMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Orthopedics PC Current Accepting new patients
Mountain Valley Orthopedics, P.C. Adult Reconstructive Orthopaedic Surgery CurrentSince Sep 1, 2012 Accepting new patients
Family Care Centers Inc. Past Accepting new patients

Locations

120 Burrus Blvd
Ste 120
Brodheadsville, PA 18322
Phone (570) 421-7020

600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020

100 Wheatfield Dr
Milford, PA 18337
Phone (570) 296-5911

100 Wheatfield Dr
Ste 2
Milford, PA 18337
Phone (570) 421-7020

100 Community Dr
Ste 210
Tobyhanna, PA 18466
Phone (570) 421-7020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9299/brand/1/csg/1/fhir/r4
  • Direct secure messaging: roger.componovo.1@9299.direct.athenahealth.com

Organizations & group practices 3

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 11

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1821168733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-421-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-421-7020",
            "fax_number": "570-421-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wheatfield Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377699",
            "country_code": "US",
            "telephone_number": "570-421-7020",
            "fax_number": "570-421-7091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Burrus Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Brodheadsville",
            "state": "PA",
            "postal_code": "183227812",
            "country_code": "US",
            "telephone_number": "570-421-7020",
            "fax_number": "570-421-7091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Community Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tobyhanna",
            "state": "PA",
            "postal_code": "184668987",
            "country_code": "US",
            "telephone_number": "570-421-7020",
            "fax_number": "570-421-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPONOVO",
        "first_name": "ROGER",
        "middle_name": "MASSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "SC",
            "license": "011695932",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PA",
            "license": "MD432295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD432295",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.