Individual provider Active NPI

Andrew L Roberts, D.O.

  • Family Medicine Physician
  • Basin, WY
National Provider Identifier
1164521977
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7406A Issued in WY
Practice address
388 US Highway 20 S
Basin, WY 82410-8902
Phone
(307) 568-3311
Fax
(307) 568-2139
NPI assigned
Sep 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7406A WY Primary

Addresses

Primary practice location

388 US Highway 20 S
Basin, WY 82410-8902

Mailing address

388 US Highway 20 S
Basin, WY 82410-8902
Phone (307) 568-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070430000189 WY Practitioner - Family PracticePractitioner - Internal Medicine 8325144801 Reassigns benefits to 1 organization
I20151111001909 MT Practitioner - Family Practice 8325144801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2036

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7406AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center CurrentSince Sep 1, 2021 Accepting new patients
Sidney Health Center CurrentSince Sep 1, 2021 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Aug 11, 2019 Accepting new patients
Sidney Health Center Past Accepting new patients
Bitter Creek Inpatient Services LLC Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: aroberts2@yourcarecommunity.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164521977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 US HIGHWAY 20 S",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824108902",
            "telephone_number": "307-568-3311",
            "fax_number": "307-568-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 US HIGHWAY 20 S",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824108902",
            "telephone_number": "307-568-3311",
            "fax_number": "307-568-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANDREW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "7406A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basin, WY

Sources for this page

Verify at the official NPI Registry.