AMRITA KAUR RODERICK PA-C
NPI 1609462589
Physician Assistant in Xenia, OH

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
452 W MARKET ST, XENIA, OH 45385(937) 376-8700 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2025, May 20, 2025, May 13, 2025 and 4 more (7 updates tracked since 2020).

About Amrita Kaur Roderick Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMRITA KAUR RODERICK PA-C (NPI 1609462589) is an individual physician assistant in Xenia, Ohio, licensed in Ohio (50.006805RX) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairborn, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609462589
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMRITA KAUR RODERICKCredential: PA-C
Location Address452 W MARKET STXenia, OH 45385-2815
Mailing AddressPo Box 837Hamilton, OH 45012-0837 · (513) 454-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 15, 2020
Last NPPES UpdateAugust 12, 20257 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1609462589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.006805RX
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

452 W MARKET ST, Xenia, OH 45385

Secondary Practice Location 1

Location 11825 Commerce Center BlvdFairborn, OH 45324-6336 · Phone (937) 879-3400

Other Identifiers 1

Medicaid0432310OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amrita Kaur Roderick Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375958630
PECOS Enrollment IDI20210218000876
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609462589, enumerated as an "individual" on December 15, 2020.

The provider is located at 452 W MARKET ST XENIA, OH 45385 and the phone number is (937) 376-8700.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.