Individual provider Active NPI

Zachary V Roberts, MD

  • Orthopaedic Trauma Physician
  • Independence, MO
National Provider Identifier
1073737144
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
2017005393 Issued in MO
Practice address
19550 E 39TH St S Ste 410
Independence, MO 64057-2307
Phone
(816) 303-2400
Fax
(816) 303-2497
NPI assigned
Apr 12, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 2017005393 MO Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 410
Independence, MO 64057-2307

Mailing address

19550 E 39TH St S Ste 410
Independence, MO 64057-2307
Phone (816) 303-2400

Other practice location 1

2790 Clay Edwards Dr Ste 600
Kansas City, MO 64116-3274
Phone (816) 561-3003

Other identifiers 1

IdentifierTypeStateIssuer
8477812MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20170712002231 MO Practitioner - Orthopedic Surgery 6507966157 Reassigns benefits to 1 organization
I20220421000682 KS Practitioner - Orthopedic Surgery 6507966157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Health of Kansas City PCGroup PAC ID 3375508443, 47 clinicians

Practice addresses (Care Compare)

10900 W 86TH St
Lenexa, KS 66214-1634
Phone (816) 561-3003

1950 Diamond Pkwy
Suite 100
Kansas City, MO 64116-4329

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Health of Kansas City P.C. Orthopaedic Trauma CurrentSince May 10, 2017 Accepting new patients

Locations

10900 W 86th St
Lenexa, KS 66214
Phone (816) 561-3003

19550 E 39th St S
Ste 410
Independence, MO 64057
Phone (816) 303-2400

1950 Diamond Pkwy
Ste 100
North Kansas City, MO 64116
Phone (816) 561-3003

2790 Clay Edwards Dr
Ste 600
North Kansas City, MO 64116
Phone (816) 561-3003

Interoperability endpoints

  • Direct secure messaging: orthopedichealthofkansascity.zacharyroberts@151220.advancedmd-direct.com

Organizations & group practices 1

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 9

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073737144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 410",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572307",
            "telephone_number": "816-303-2400",
            "fax_number": "816-303-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 410",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572307",
            "telephone_number": "816-303-2400",
            "fax_number": "816-303-2497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Clay Edwards Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641163274",
            "country_code": "US",
            "telephone_number": "816-561-3003",
            "fax_number": "816-889-1584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ZACHARY",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MO",
            "license": "2017005393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8477812",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.