Shawn Anthony Roberts, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

43029 Issued in MN

Practice address

320 East Main Street
Crosby, MN 56441-1691

Phone

(218) 546-7000

Fax

(218) 546-4400

NPI assigned

Dec 8, 2005

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 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MN

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

General Surgery

Education

University of Minnesota Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians

Cuyuna Regional Medical CenterGroup PAC ID 9537146550, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cuyuna Regional Medical Center Hospital, Crosby, MN, CCN 241353
• Riverwood Healthcare Center Hospital, Aitkin, MN, CCN 241305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sroberts42844@excellian.direct.allina.com

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.

• Aitkin Community Hospital, Inc.

  dba Riverwood Healthcare Center

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Medicare reassignment Care Compare group NPD
• Cuyuna Regional Medical Center

  dba Longville Lakes Clinic

  • Family Medicine Physician
  • Longville, MN
  • NPI 1861414518
  Medicare reassignment Care Compare group NPD
• Cuyuna Regional Medical Center

  • Critical Access Hospital
  • Crosby, MN
  • NPI 1538143896
  Medicare reassignment
• Aitkin Community Hospital, Inc.

  dba Riverwood Pharmacy Aitkin

  • Community/Retail Pharmacy
  • Aitkin, MN
  • NPI 1497377287
  NPD
• Aitkin Community Hospital, Inc.

  dba Riverwood Healthcare Center

  • Rural Health Clinic/Center
  • Aitkin, MN
  • NPI 1902960875
  NPD
• Cuyuna Regional Medical Center

  • Critical Access Hospital Clinic/Center
  • Crosby, MN
  • NPI 1639459282
  NPD

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

• Aitkin Community Hospital, Inc.

  dba Riverwood Healthcare Center

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Care Compare affiliation
• Cuyuna Regional Medical Center

  • Critical Access Hospital
  • Crosby, MN
  • NPI 1538143896
  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1164407524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411691",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411691",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHAWN",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "43029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766188600",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sroberts42844@excellian.direct.allina.com",
            "affiliation": "Y",
            "affiliationName": "Cuyuna Regional Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sroberts42844@excellian.direct.allina.com",
            "address_1": "320 E Main St",
            "city": "Crosby",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564411645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sroberts42844@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDA/PDF/TXT",
            "address_1": "320 E Main St",
            "city": "Crosby",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564411645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Alexander Reimer, CNP
• Brandon Paul Reynolds, MD
• Ridgeview Clinics (Minnesota Otolaryngology)
• Jenna Christine Roberts, MHS PA-C
• Laura Lynne Roberts, PA C
• Kathleen J Robinson, CRNA
• Edward Lee Rosenbaum, MD
• Staci Ranae Roslansky, APRN,CNP
• Brittany Roy, CRNA
• Lacey Marie Runninghawk Stawarski, MD

• Surgery Physician in Crosby, MN
• Providers in Crosby, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.