Roger Lowell McRoberts III, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

M6761 Issued in TX

Practice address

3501 Mills Ave
Seton Shoal Creek Hospital
Austin, TX 78731-6309

Phone

(512) 324-2080

Fax

(512) 324-3379

NPI assigned

Dec 8, 2005

Last updated

Jan 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Psychiatry

Education

University of Texas Medical Branch at Galveston, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tri-County ClinicalGroup PAC ID 1153502869, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-County Clinical

  • Family Medicine Physician
  • Luling, TX
  • NPI 1336456227
  Medicare reassignment Care Compare group
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  NPD (past)
• The Providence Center

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1134977598
  NPD (past)
• The Providence Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Providence, RI
  • NPI 1104847946
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1053396564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MILLS AVE",
            "address_2": "SETON SHOAL CREEK HOSPITAL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316309",
            "telephone_number": "512-324-2080",
            "fax_number": "512-324-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MILLS AVE",
            "address_2": "SETON SHOAL CREEK HOSPITAL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316309",
            "telephone_number": "512-324-2080",
            "fax_number": "512-324-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCROBERTS",
        "first_name": "ROGER",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "TX",
            "license": "M6761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185666801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie T McQuiston, MD
• Jacob Cain McRae
• Leah G McRee-Krim
• Gracie Donnice Tad McReynolds, MD
• Katherine Carey McRoberts, SPEECH-LANGUAGE PATH
• Maureen Beiter McShane, RPH
• Alexandria Lee McStay, MA, CCC-SLP
• Micha D McVey-Leach, CRNA
• Charles G. McVey Jr., PH.D.
• James M McVey, PH.D.

• Psychosomatic Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychosomatic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.