Active NPI
Nathan L Roberts, MD
- Family Medicine Physician
- Tuscola, IL
National Provider Identifier
1225089626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036104517
- Practice address
- 300 N Main St
Tuscola, IL 61953-1406 - Phone
- (217) 253-9258
- Fax
- (217) 253-9318
- NPI assigned
- May 12, 2006
- Last updated
- Jan 6, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036104517 | IL | Primary |
Addresses
Primary practice location
300 N Main St
Tuscola, IL 61953-1406
Mailing address
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 253-9258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104517 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nrobertsmd312022@CarleHieDirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Illinois Medical College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 N Main St
Tuscola, IL 61953-1406
Phone (217) 253-9258
Hospital & facility affiliations
- Carle Home Care
- HSHS Good Shepherd Hospital Inc
- Sarah Bush Lincoln Health Center
- Decatur Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Clinic, PLLC | Current | Accepting new patients | |
| Christie Clinic, PLLC | Family Medicine | Current | Accepting new patients |
Locations
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
300 N Main St
Tuscola, IL 61953
Phone (217) 253-9258
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- nrobertsmd312022@carlehiedirect.net
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Tuscola, IL
- NPI 1801486550
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- Critical Access Hospital
- Shelbyville, IL
- NPI 1053348532
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1225089626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-253-9258",
"fax_number": "217-253-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N MAIN ST",
"city": "TUSCOLA",
"state": "IL",
"postal_code": "619531406",
"telephone_number": "217-253-9258",
"fax_number": "217-253-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "NATHAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036104517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104517",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nrobertsmd312022@CarleHieDirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 N Main St",
"city": "Tuscola",
"state": "IL",
"country_code": "US",
"postal_code": "619531406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tuscola, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.