Kenneth C Roberts, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18538 Issued in MS

Practice address

400 Veterans
Biloxy, MS 39531

Phone

(228) 523-4555

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Internal Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Care Hospitalist Group PLLCGroup PAC ID 3779862446, 22 clinicians

Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
• Sienna Extended Care & Rehab Nursing home, Midwest City, OK, CCN 375534

Merit-based Incentive Payment System (MIPS)

Final score

69.13 of 100Reported as group

Quality

50.94

Improvement activities

30

Cost

71.99

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kroberts385268@direct-ehr-ssmhc.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.

• Optimum Care Hospitalist Group PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1306396577

  Internal Medicine, OK

  Medicare reassignment Care Compare group NPD
• Metro Physicians LLC

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1588374797

  OK

  Medicare reassignment Care Compare group
• Metro Healthcare Services LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1194558304

  Internal Medicine, OK

  Medicare reassignment NPD
• Midwest Hospitalist Group PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1376011478

  OK

  Medicare reassignment
• Spectrum Healthcare Solutions, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1558816850

  OK

  Medicare reassignment
• Kenneth C Roberts DO Apmc

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1568545143

  Internal Medicine

  NPD (past) Authorized official
• Sienna Extended Care & Rehab LLC

  • Skilled Nursing Facility
  • Midwest City, OK
  • NPI 1780810119
  NPD (past)
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  NPD (past)

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

• Sienna Extended Care & Rehab LLC

  • Skilled Nursing Facility
  • Midwest City, OK
  • NPI 1780810119

  Nursing home

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • Ambulance
  • Midwest City, OK
  • NPI 1023603727

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194890848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850299",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730850299",
            "telephone_number": "985-966-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS",
            "city": "BILOXY",
            "state": "MS",
            "postal_code": "39531",
            "telephone_number": "228-523-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "021531",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18538",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "2974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.