Individual provider Active NPI

James Roebker, MD

  • Diagnostic Radiology Physician
  • Edgewood, KY
National Provider Identifier
1073075743
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
60207 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(610) 477-6147
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 60207 KY Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

2139 Auburn Ave
Cincinnati, OH 45219-2906

Other practice location 1

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250411002828 KY Practitioner - Diagnostic Radiology 1557780285 Reassigns benefits to 1 organization
I20250423001752 OH Practitioner - Diagnostic Radiology 1557780285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone (513) 793-3933

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
B&D Radiology Partners PLLC Diagnostic Radiology PastSince Sep 1, 2017 Accepting new patients

Locations (25 of 29)

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

7200 Alexandria Pike
Alexandria, KY 41001
Phone (859) 344-5652

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

375 Thomas More Pkwy
Ste 209
Crestview Hills, KY 41017
Phone (859) 341-4842

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

500 Thomas More Pkwy
Ste 2
Crestview Hls, KY 41017
Phone (859) 341-4842

830 Thomas More Pkwy
Ste 101
Edgewood, KY 41017
Phone (859) 301-5600

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

560 S Loop Rd
Ste 100
Edgewood, KY 41017

413 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-3800

600 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-6382

4123 Olympic Blvd
Ste 150
Erlanger, KY 41018
Phone (859) 301-2999

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

7830 Connector Dr
Florence, KY 41042
Phone (859) 525-2994

10095 Investment Way
Florence, KY 41042
Phone (859) 301-9070

8460 US Highway 42
Florence, KY 41042
Phone (859) 282-0911

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

2200 Conner Rd
Hebron, KY 41048
Phone (859) 344-5652

2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434

135 Courthouse Xing
Independence, KY 41051
Phone (859) 301-0990

120 Progress Way
Owenton, KY 40359
Phone (502) 227-2229

330 Roland Ave
Owenton, KY 40359
Phone (502) 484-3663

Organizations & group practices 3

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

Hospital & facility affiliations 4

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1073075743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "610-477-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 Auburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-585-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEBKER",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "60207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.