Amy Elizabeth Roberts, M.D.
Individual provider Active NPI Family Medicine Physician · Town and Country, MO
NPI 1003894775 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1003894775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2018024522 (MO)
- Practice address
- 272 Lamp and Lantern VLG
Town and Country, MO 63017-8209 - Phone
- (636) 220-8040
- Fax
- (833) 396-2516
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana Medical College, School of Medicine of Purdue University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elite Physical Therapy of Creve Coeur LLC
Practice addresses (Care Compare)
12788 Olive Blvd
Creve Coeur, MO 63141-6211
Hospital & facility affiliations
- Missouri Baptist Medical Center
- St Lukes Hospital
- Mercy Hospital St Louis
- Barnes-Jewish West County Hospital
- Barnes Jewish Hospital
- SSM Health Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018024522 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Emergency Associates | Past | Accepting new patients |
Interoperability endpoints
- amy.roberts.1@24459.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2018024522 | MO | Yes |
Addresses
Primary practice location
272 Lamp and Lantern VLG
Town and Country, MO 63017-8209
Mailing address
272 Lamp and Lantern VLG
Town and Country, MO 63017-8209
Phone (636) 220-8040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200522690 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Town and Country, MO
- Premier Dialysis of West County, Inc
- Gary Paul Quillen
- Mark Douglas Ravenscraft
- Lindsey Redfield
- Brian Richter
- Maura Robinson
- Monica Marie Rojas
- Sage Endodontics
- Miranda Nicole Sander
- Whitney Carson Schleiffarth
All providers in Town and Country, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.