Active NPI
Lowell F Roberts, M.D.
- Cardiovascular Disease Physician
- Paducah, KY
National Provider Identifier
1225069131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 13938
- Practice address
- 2601 Kentucky Ave
Suite 301
Paducah, KY 42003-3817 - Phone
- (270) 575-3113
- Fax
- (270) 575-3135
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 13938 | KY | Primary |
Addresses
Primary practice location
2601 Kentucky Ave
Suite 301
Paducah, KY 42003-3817
Mailing address
PO Box 7648
Paducah, KY 42002-7648
Phone (270) 575-3113
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020-02-64-058 | Medicaid | IL | |
| 610976324003 | Other | KS | CHAMPUS ID # |
| 64139389 | Medicaid | KY | |
| 2125 | Other | KY | KENTUCKY BLS PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13938 | KY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Kentucky Cardiology Consultants, PSC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Paducah, KY
- NPI 1891806899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225069131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7648",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420027648",
"telephone_number": "270-575-3113",
"fax_number": "270-575-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 KENTUCKY AVE",
"address_2": "SUITE 301",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033817",
"telephone_number": "270-575-3113",
"fax_number": "270-575-3135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LOWELL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "13938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020-02-64-058",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS ID #",
"identifier": "610976324003",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64139389",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BLS PROVIDER",
"identifier": "2125",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.