Individual provider Active NPI

Richard S Roberts, MD

  • Allergy & Immunology Physician
  • Charlotte, NC
National Provider Identifier
1093759243
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0000-24096 Issued in NC
Practice address
2600 E 7TH St
Unit a
Charlotte, NC 28204-4375
Phone
(704) 372-7900
Fax
(704) 376-2216
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0000-24096 NC Primary

Addresses

Primary practice location

2600 E 7TH St
Unit a
Charlotte, NC 28204-4375

Mailing address

PO Box 63376
Charlotte, NC 28263-3376
Phone (704) 372-7900

Other identifiers 3

IdentifierTypeStateIssuer
8972230MedicaidNC
02184OtherNCBCBS
N24096MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20071119000623 NC Practitioner - Allergy/Immunology 0345338760 Reassigns benefits to 1 organization
I20100506000031 SC Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 0345338760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Columbia University College of Physicians and Surgeons, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Lee St
Shelby, NC 28150-3839
Phone (704) 372-7900

11840 Southmore Dr
Suite 175
Charlotte, NC 28277-4466
Phone (704) 372-7900

19475 Old Jetton Rd
Suite 100
Cornelius, NC 28031-6591
Phone (704) 658-1122

2600 E 7TH St
Unit a
Charlotte, NC 28204-4319
Phone (704) 372-7900

420 Herlong Ave S
Suite 101
Rock Hill, SC 29732-1091
Phone (803) 327-2355

8401 Univeristy Blvd
Suite 128
Charlotte, NC 28262-1358
Phone (704) 503-1521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000-24096NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Asthma and Allergy Center PA Allergy & Immunology CurrentSince Oct 23, 1996 Accepting new patients

Locations

14135 Ballantyne Corporate Pl
Ste 225
Charlotte, NC 28277
Phone (704) 316-2930

5970 Fairview Rd
Ste 500
Charlotte, NC 28210
Phone (704) 680-3140

14130 Rivergate Pkwy
Ste 125
Charlotte, NC 28273

2600 E 7th St
Unit A
Charlotte, NC 28204
Phone (704) 998-0840

8401 University Exec Park Dr
Ste 128
Charlotte, NC 28262

2630 E 7th St
Ste 100
Charlotte, NC 28204
Phone (704) 355-9484

3426 Toringdon Way
Ste 102
Charlotte, NC 28277

11840 Southmore Dr
Ste 175
Charlotte, NC 28277

900 Branchview Dr NE
Ste 100
Concord, NC 28025
Phone (704) 792-1131

19475 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5136

620 Summit Crossing Pl
Ste 202
Gastonia, NC 28054

2325 Aberdeen Blvd
Ste C
Gastonia, NC 28054
Phone (704) 831-5000

912 2nd St NE
Hickory, NC 28601
Phone (828) 267-1916

15940 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 655-1466

855 Sam Newell Rd
Ste 206
Matthews, NC 28105
Phone (704) 341-9600

1995 Wellness Blvd
Ste 200
Monroe, NC 28110
Phone (704) 289-3900

311 Williamson Rd
Ste 100
Mooresville, NC 28117
Phone (704) 664-2552

114 Lee St
Shelby, NC 28150
Phone (704) 480-0685

420 Herlong Ave S
Ste 101
Rock Hill, SC 29732
Phone (803) 327-2355

197 Piedmont Blvd
#109
Rock Hill, SC 29732
Phone (803) 327-2355

Interoperability endpoints

  • Direct secure messaging: richard.roberts.p1@direct.caac.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1093759243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63376",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633376",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST",
            "address_2": "UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044375",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "0000-24096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8972230",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02184",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N24096",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.