Individual provider Active NPI

Thomas Scott Roberts, M.D.

  • Family Medicine Physician
  • Seymour, IN
National Provider Identifier
1053421511
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01034569A Issued in IN
Practice address
1130 Medical PL
Seymour, IN 47274-2640
Phone
(812) 519-1552
Fax
(812) 519-1774
NPI assigned
Aug 30, 2006
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01034569A IN Primary

Addresses

Primary practice location

1130 Medical PL
Seymour, IN 47274-2640

Mailing address

1130 Medical PL
Seymour, IN 47274-2640
Phone (812) 519-1552

Other identifiers 1

IdentifierTypeStateIssuer
100140640AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address troberts29570@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20081212000232 IN Practitioner - Family Practice 9739240458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1124 Medical PL
Seymour, IN 47274-2640
Phone (812) 522-1613

1130 Medical PL
Seymour, IN 47274-2640
Phone (812) 519-1552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01034569AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital Family Medicine CurrentSince Nov 19, 2023 Accepting new patients
Brownstown Family Medicine,PC Family Medicine Past Accepting new patients

Locations

806 W Commerce St
Brownstown, IN 47220
Phone (812) 358-2400

1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400

2145 N State Highway 3
North Vernon, IN 47265
Phone (812) 346-6010

1366 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-3524

1124 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552

1130 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552

225 S Pine St
Ste 200
Seymour, IN 47274
Phone (812) 524-3330

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1053421511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-519-1552",
            "fax_number": "812-519-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-519-1552",
            "fax_number": "812-519-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01034569A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100140640A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "troberts29570@bhkydirect.com",
            "affiliation": "N",
            "address_1": "800 Highlander Point Dr Ste 103",
            "city": "Floyds Knobs",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471199465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.