Sidney Creed Roberts, M.D.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

H4653 Issued in TX

Practice address

1201 W Frank Ave
Lufkin, TX 75904-3357

Phone

(936) 639-7466

Fax

(936) 639-7472

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Radiation Oncology

Education

Baylor College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice in the Pines Hospice, Lufkin, TX, CCN 451537
• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Merit-based Incentive Payment System (MIPS)

Final score

93.81 of 100Reported as individual

Quality

84.68

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice in the Pines Inc

  • Community Based Hospice Care Agency
  • Lufkin, TX
  • NPI 1174504708

  Corporate Director

  CMS ownership

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.

• Angelina Radiation Oncology Associates

  • Radiation Oncology Physician
  • Lufkin, TX
  • NPI 1750313391
  Medicare reassignment NPD Authorized official
• Hospice in the Pines Inc

  • Community Based Hospice Care Agency
  • Lufkin, TX
  • NPI 1174504708
  NPD (past)

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

• Hospice in the Pines Inc

  • Community Based Hospice Care Agency
  • Lufkin, TX
  • NPI 1174504708
  Care Compare affiliation
• Memorial Health System of East Texas

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Memorial Hospital of Polk County

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1093760191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95350",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760999733",
            "telephone_number": "877-839-9517",
            "fax_number": "903-531-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-7466",
            "fax_number": "936-639-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SIDNEY",
        "middle_name": "CREED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H4653",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "TX",
            "license": "H4653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110403601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "85R980",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D. Kistler MD
• Robert M Lindsey,M.D.P.a.
• Roberts Health and Wellness
• Mark Allen Roberts, D.C.
• Mary Ruth Roberts, M.A., LPC
• Caleb Robinson, OD
• Janis Virginia Robinson, LPC
• Kayla Richelle Robinson, DPM
• Miranda Robinson, LCSW
• Nathaniel D Robinson, OD

• Therapeutic Radiology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Therapeutic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.