KELLIE JO RODELLI PA
NPI 1114035532
Physician Assistant - Surgical in Allentown, PA

NPI Status: Active since August 26, 2006

Contact Information

1210 S CEDAR CREST BLVD
SUITE 1100
ALLENTOWN, PA
ZIP 18103
Phone: (610) 402-6555
Fax: (610) 402-6550

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About KELLIE JO RODELLI

This page provides the complete NPI Profile along with additional information for Kellie Jo Rodelli, a provider established in Allentown, Pennsylvania with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1114035532 assigned on August 2006. The practitioner's primary taxonomy code is 363AS0400X with license number MA051654 (PA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1114035532
Provider Name
KELLIE JO RODELLI PA
Gender
Female
Entity Type
Individual
Location Address
1210 S CEDAR CREST BLVD SUITE 1100 ALLENTOWN, PA 18103
Location Phone
(610) 402-6555
Location Fax
(610) 402-6550
Mailing Address
PO BOX 1754 ALLENTOWN, PA 18105
Mailing Phone
(610) 798-4500
Is Sole Proprietor?
No
Enumeration Date
08-26-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
MA051654
License State
PA

Medicare Participation & PECOS Enrollment Status

Kellie Jo Rodelli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for KELLIE JO RODELLI PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114035532
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124031056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 0 + 3 + 1 + 0 + 5 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1114035532 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376572917 FRANK FINCH MD
Individual
Internal Medicine1210 S CEDAR CREST BLVD SUITE 3600
ALLENTOWN, PA 18103
(610) 402-1150
1568491116 WILLIAM IOBST MD
Individual
Internal Medicine (Rheumatology)1210 S CEDAR CREST BLVD SUITE 3600
ALLENTOWN, PA 18103
(610) 402-1150
1386677201 GINA KARESS MD
Individual
Internal Medicine1210 S CEDAR CREST BLVD SUITE 3600
ALLENTOWN, PA 18103
(610) 402-1150
1215956255 ELLIOT SUSSMAN MD
Individual
Internal Medicine1210 S CEDAR CREST BLVD SUITE 3600
ALLENTOWN, PA 18103
(610) 402-1150
1457369001 PRADIP CHAKRABARTI MD
Individual
Transplant Surgery1210 S CEDAR CREST BLVD SUITE 3300
ALLENTOWN, PA 18103
(610) 402-8506
1528176930 KRISTA REMMEL PA
Individual
Physician Assistant (Medical)1210 S CEDAR CREST BLVD SUITE 1800
ALLENTOWN, PA 18103
(610) 402-8420
1104917335 GINGER K O'SULLIVAN CRNP
Individual
Clinical Nurse Specialist (Neuroscience)1210 S CEDAR CREST BLVD SUITE 1800
ALLENTOWN, PA 18103
(610) 402-8420
1831253822 VAISHALI ARJULA
Individual
Physician Assistant (Medical)1210 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
(610) 402-8420
1083766596LEHIGH VALLEY PHYSICIAN GROUP
Organization
Internal Medicine (Nephrology)1210 S CEDAR CREST BLVD SUITE 3600
ALLENTOWN, PA 18103
(610) 402-1150
1396953535LEHIGH VALLY HOSPITAL
Organization
General Acute Care Hospital1210 S CEDAR CREST BLVD SUITE 1800
ALLENTOWN, PA 18103
(610) 402-8420
1083966469 ANNE BURDINE RD
Individual
Dietitian, Registered1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
(610) 402-3888
1902159874 NANCY MARIE MOORE RD
Individual
Dietitian, Registered1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
(610) 402-3888
1225037591DR. TIBISAY I VILLALOBOS MD
Individual
Pediatrics (Pediatric Infectious Diseases)1210 S CEDAR CREST BLVD SUITE 2400
ALLENTOWN, PA 18103
(610) 402-3824
1780677872DR. MICHELE RENE CLEMENT MD
Individual
Urology (Pediatric Urology)1210 S CEDAR CREST BLVD SUITE 1100
ALLENTOWN, PA 18103
(610) 402-7999
1346221975 ERIC TODD YOUNG MD
Individual
Internal Medicine (Infectious Disease)1210 S CEDAR CREST BLVD SUITE 2700
ALLENTOWN, PA 18103
(610) 402-8430
1174504633 LUTHER VALENTINE RHODES III MD
Individual
Internal Medicine (Infectious Disease)1210 S CEDAR CREST BLVD STE 2700
ALLENTOWN, PA 18103
(610) 402-8430
1609080282 DEEPTI VERMA MD
Individual
Internal Medicine (Infectious Disease)1210 S CEDAR CREST BLVD SUITE 2700
ALLENTOWN, PA 18103
(610) 402-8430
1871774109 EMILY J MORALES PA
Individual
Physician Assistant (Medical)1210 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
(610) 402-8430
1578679270 JUDITH BROOKS CRNP
Individual
Nurse Practitioner (Primary Care)1210 S CEDAR CREST BLVD SUITE 360
ALLENTOWN, PA 18103
(610) 402-1150
1447436084 RACHEL L MOYER PA
Individual
Physician Assistant (Medical)1210 S CEDAR CREST BLVD SUITE 1100
ALLENTOWN, PA 18103
(610) 402-6555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114035532, enumerated in the NPI registry as an "individual" on August 26, 2006

The provider is located at 1210 S Cedar Crest Blvd Suite 1100 Allentown, Pa 18103 and the phone number is (610) 402-6555

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on August 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.