Individual provider Active NPI

Roel D Compendio, MD

  • Psychiatry Physician
  • Paoli, PA
National Provider Identifier
1902885296
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD063208L Issued in PA
Practice address
15 Industrial Blvd
Suite 203
Paoli, PA 19301
Phone
(610) 240-0240
Fax
(610) 240-0335
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD063208L PA Primary

Addresses

Primary practice location

15 Industrial Blvd
Suite 203
Paoli, PA 19301

Mailing address

9 Malin Station Rd.
Malvern, PA 19035-1676
Phone (610) 240-0240

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
I20040316000952 PA Practitioner - Psychiatry 4688564511 Practice locations: Paoli, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Industrial Blvd
203A
Paoli, PA 19301-1608
Phone (610) 240-0240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063208LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Roel Demesa Compendio PC Psychiatry PastSince Jan 1, 1990 Accepting new patients
Dr George Abraham PC Psychiatry PastSince Sep 1, 2001 Accepting new patients
Health Access Network Past Accepting new patients
Main Line Affiliates Psychiatry Past Accepting new patients
Main Line Healthcare PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1902885296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MALIN STATION RD.",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "190351676",
            "telephone_number": "610-240-0240",
            "fax_number": "610-240-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 INDUSTRIAL BLVD",
            "address_2": "SUITE 203",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "610-240-0240",
            "fax_number": "610-240-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPENDIO",
        "first_name": "ROEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD063208L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.