Robert Ansley Roof III, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

02246 Issued in IA

Practice address

3421 West 9TH St
Waterloo, IA 50702

Phone

(800) 458-5003

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

Yes

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 IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rroof473250@direct.gundersenhealth.org
• Direct secure messaging: rroof3936356@direct.trinity-health.org

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.

• Iowa Emergency Physicians LLP

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1386879427
  Medicare reassignment NPD
• Palmer Lutheran Health Center, Inc.

  • Critical Access Hospital
  • West Union, IA
  • NPI 1891744108
  Medicare reassignment NPD
• Unitypoint Health - Marshalltown

  • Emergency Medicine Physician
  • Marshalltown, IA
  • NPI 1164957593
  Medicare reassignment NPD
• Waterloo Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1649013038
  Medicare reassignment NPD
• Waverly Health Center

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1598959371
  Medicare reassignment NPD
• Iowa Emergency Physicians LLP

  • Emergency Medicine Physician
  • Keokuk, IA
  • NPI 1518354810
  NPD
• Salahuddin Syed MD PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Marshalltown, IA
  • NPI 1083054464
  NPD
• Unitypoint Health - Marshalltown

  • Rural Health Clinic/Center
  • Waverly, IA
  • NPI 1124655006
  NPD
• Waverly Health Center

  • Emergency Medicine Physician
  • Waverly, IA
  • NPI 1033282975
  NPD
• Waverly Health Center

  • Rural Health Clinic/Center
  • Janesville, IA
  • NPI 1184094534
  NPD
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1164526349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20706 247TH ST",
            "city": "DELHI",
            "state": "IA",
            "postal_code": "522238416",
            "telephone_number": "563-927-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 WEST 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "800-458-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOF",
        "first_name": "ROBERT",
        "middle_name": "ANSLEY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "02246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164526349",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1164526349",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenny David Rodriguez, MD
• Robert Rogers, ARNP
• Genie Roggensack
• Tonja Marie Roland-Ludwig, RPH
• Diane Rolf, LMSW
• Rooted Reflections LLC
• Nicholas Donald Rosauer, LMSW
• Peter Nelson Rosen, APN
• Dov Rotenberg, M.D.
• Haylie Roth

• Emergency Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.