Roger W Roberts, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0317701 Issued in KS

Practice address

1301 W 12TH Ave Ste 301
Emporia, KS 66801-2590

Phone

(620) 343-2376

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Heart Hospital, LLCGroup PAC ID 6204735947, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Heart Hospital Hospital, Wichita, KS, CCN 170186

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1114928108
  Medicare reassignment Care Compare group NPD (past)
• Kansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1881477099
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Weight Management

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1831185065
  NPD (past)
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Physician Group

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  NPD (past)
• Dhaval Parikh MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Wichita, KS
  • NPI 1528389384

  Cardiovascular Disease

  NPD (past)
• Jason T Tauke MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1710917430
  NPD (past)
• Patricia D Crawley MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1497179055
  NPD (past)
• Roger W. Roberts, D.O., P.a.

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1427002633
  NPD (past)

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

• Kansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1114928108
  Care Compare affiliation
• Kansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1881477099

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1093778003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 301",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012590",
            "telephone_number": "620-343-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ROGER",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0317701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060030783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098630C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Richards
• Lauren Rickner
• Cassandra Ann Roach, APRN
• Justin T Roach, APRN, NP-C
• Brenda Roberson
• Ronaldo Roberts, CADC
• Rocky Mountain Holdings, LLC (LifeSave)
• Mark Rogers
• Sarah Rutledge, LMFT
• Amanda Lee Ruxton, DO

• Cardiovascular Disease Physician in Emporia, KS
• Providers in Emporia, KS by specialty
• Cardiovascular Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.