Individual provider Active NPI

Jennifer D Roberts, DO

  • Obstetrics & Gynecology Physician
  • Portsmouth, OH
National Provider Identifier
1073734539
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34008975 Issued in OH
Practice address
1735 27TH St Ste 206a
Portsmouth, OH 45662-0009
Phone
(740) 353-3196
Fax
(740) 353-1298
NPI assigned
May 1, 2007
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34008975 OH Primary

Addresses

Primary practice location

1735 27TH St Ste 206a
Portsmouth, OH 45662-0009

Mailing address

1735 27TH St Ste 206a
Portsmouth, OH 45662-0009
Phone (740) 353-3196

Other identifiers 2

IdentifierTypeStateIssuer
7100058560MedicaidKY
2769811MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090522000476 OH Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 6800945767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer D. Roberts, D.O., LLC.Group PAC ID 8729119748, 2 clinicians

Practice addresses (Care Compare)

1735 27TH St
Suite 206a
Portsmouth, OH 45662-0009
Phone (740) 353-3196

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008975OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer D. Roberts DO LLC Obstetrics & Gynecology CurrentSince Jul 1, 2010 Accepting new patients
Southern Ohio Medical Center Past Accepting new patients
George P Pettit MD Inc Obstetrics & Gynecology PastSince Jul 7, 2004 Accepting new patients

Locations

1735 27th St
Ste 206A
Portsmouth, OH 45662
Phone (740) 353-3196

Interoperability endpoints

  • Direct secure messaging: jennifer.roberts@somc.medicity.net

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, 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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1073734539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE 206A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456620009",
            "telephone_number": "740-353-3196",
            "fax_number": "740-353-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE 206A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456620009",
            "telephone_number": "740-353-3196",
            "fax_number": "740-353-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34008975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100058560",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.