Individual provider Active NPI

Antony Lee Roberts, DO

  • Diagnostic Radiology Physician
  • Powell, OH
National Provider Identifier
1104869130
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.007905 Issued in OH
Practice address
90 Village Pointe Dr
Powell, OH 43065-7760
Phone
(614) 791-1300
Fax
(614) 791-1302
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34.007905 OH Primary

Addresses

Primary practice location

90 Village Pointe Dr
Powell, OH 43065-7760

Mailing address

90 Village Pointe Dr
Powell, OH 43065-7760
Phone (614) 791-1300

Other identifiers 1

IdentifierTypeStateIssuer
2664166MedicaidOH

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
I20060816000510 OH Practitioner - Diagnostic Radiology 5193728970 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

1341 Clark St
Suite 401
Cambridge, OH 43725-9614
Phone (740) 439-8033

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Mercy Health - Defiance Hospital Hospital, Defiance, OH, CCN 360270
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.007905OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Dec 21, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Dec 16, 2025 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Aug 12, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Jan 27, 2026 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Aug 15, 2018 Accepting new patients
Ohio Imaging LLC PastSince Jan 17, 2014 Accepting new patients
Dr TC Hobbs & Associates Inc Diagnostic Radiology Past Accepting new patients
Mercy Medical Partners Northern Region LLC Past Accepting new patients
North Central Ohio Radiology, LLC Diagnostic Radiology Past Accepting new patients
John W Murrey Diagnostic Radiology Past Accepting new patients

Locations (25 of 31)

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

1341 Clark St
Ste 401
Cambridge, OH 43725
Phone (740) 439-8033

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2702 Navarre Ave
Ste 101
Oregon, OH 43616
Phone (419) 407-2663

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1104869130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VILLAGE POINTE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657760",
            "telephone_number": "614-791-1300",
            "fax_number": "614-791-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VILLAGE POINTE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657760",
            "telephone_number": "614-791-1300",
            "fax_number": "614-791-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANTONY",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.007905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2664166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.