Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Johannes B Roedl, MD

Individual provider Internal Medicine Physician · NPI 1922254598

Dr. Johannes B Roedl, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
21
Licensed in
MA, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 11th St Ste 3390
Philadelphia, PA 19107-4824
Phone: (215) 955-6385
Fax: (215) 923-6754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD451859 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence L-236648 (MA)

Record details

NPI number1922254598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2008
Last updated in NPPESMay 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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