Jared Richard Roberts, DO
Individual provider Active NPI Vascular & Interventional Radiology Physician · Lewisberry, PA
NPI 1124552245 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1124552245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- OS022672 (PA)
- Practice address
- 629D Lowther Rd
Lewisberry, PA 17339-9527 - Phone
- (717) 932-5200
- NPI assigned
- Apr 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penn State Health Medical Group LLC
Quantum Imaging and Therapeutic Associates Inc
Practice addresses (Care Compare)
503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 972-4301
629 D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Upmc Carlisle
- Upmc Memorial
- Penn State Health Holy Spirit Medical Center
- Upmc Hanover
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.93 of 100
- Quality
- 90.59
- Improvement activities
- 40
- Cost
- 57.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230607000908 | PA | Practitioner - Interventional Radiology |
0840657854 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT018381 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Quantum Imaging & Therapeutic Associates Inc | Vascular & Interventional Radiology | Current |
Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765
Interoperability endpoints
- jroberts489710@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT018381 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | OS022672 | PA | Yes |
Addresses
Primary practice location
629D Lowther Rd
Lewisberry, PA 17339-9527
Mailing address
629D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-4935
Other providers in Lewisberry, PA
- Quantum Imaging & Therapeutic Associates Inc
- Quantum Imaging & Therapeutic Associates, Inc
- Quantum Imaging and Therapeutic Associates, Inc.
- Quantum Pet LP
- Redcedar Family Practice, LLC
- Cherie Marie Rodgers
- Daulton Troy Rutter
- Michael M Ryan
- S Eye Care, P.C.
- Brianne Chanel Sampson
All providers in Lewisberry, PA · Vascular & Interventional Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.