Individual provider Active NPI

Jared Michael Roberts, M.D.

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
National Provider Identifier
1164659389
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.30765 Issued in AL
Practice address
800 Saint Vincents Dr Ste 500
Birmingham, AL 35205
Phone
(205) 933-8334
Fax
(205) 933-8466
NPI assigned
Jun 15, 2009
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.30765 AL Primary

Addresses

Primary practice location

800 Saint Vincents Dr Ste 500
Birmingham, AL 35205

Mailing address

800 Saint Vincents Dr Ste 500
Birmingham, AL 35205-1629
Phone (205) 933-8334

Other practice location 1

1407 N Porter Ave
Norman, OK 73071-6659
Phone (405) 329-4304

Other practice location 2

800 Saint Vincents Dr Ste 500
Birmingham, AL 35205
Phone (205) 933-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170815002776 AL Practitioner - Obstetrics/Gynecology 0345487419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Obstetrics Gynecology, PCGroup PAC ID 9638068695, 15 clinicians

Practice addresses (Care Compare)

800 Saint Vincents Dr
Suite 500
Birmingham, AL 35205-1629
Phone (205) 933-8334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vincentian Physician Services LLC CurrentSince Oct 22, 2018 Accepting new patients
Birmingham Obstetrics Gynecology, P.C. Obstetrics & Gynecology CurrentSince Jun 5, 2017 Accepting new patients
Together Clinic LLC CurrentSince Jun 2, 2022 Accepting new patients
Affinity Hospital LLC Past Accepting new patients
St. Vincent's Birmingham Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

800 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 271-5663

3595 Grandview Pkwy
Ste 300
Birmingham, AL 35243
Phone (205) 558-9389

2321 John Hawkins Pkwy
Ste 213
Hoover, AL 35244
Phone (205) 510-9597

600 Boulevard South SW
Ste 104
Huntsville, AL 35802
Phone (800) 618-6990

Interoperability endpoints

  • Direct secure messaging: jroberts@bhamobgyn.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400334

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1164659389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR STE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051629",
            "telephone_number": "205-933-8334",
            "fax_number": "205-933-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR STE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-933-8334",
            "fax_number": "205-933-8466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 N Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730716659",
            "country_code": "US",
            "telephone_number": "405-329-4304",
            "fax_number": "405-366-8993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Saint Vincents Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35205",
            "country_code": "US",
            "telephone_number": "205-933-8334",
            "fax_number": "205-933-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.30765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.