Active NPI
Jared Roberts, M.D.
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036156090
- Practice address
- 251 E Huron St Ste 5-704
Chicago, IL 60611-2908 - Phone
- (312) 695-0061
- Fax
- (312) 695-7605
- NPI assigned
- Jun 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2024034940 | MO | |
| Internal Medicine Physician | 207R00000X | 94-09014 | KS | |
| Anesthesiology Physician | 207L00000X | 036156090 | IL | Primary |
Addresses
Primary practice location
251 E Huron St Ste 5-704
Chicago, IL 60611-2908
Mailing address
251 E Huron St Ste 5-704
Chicago, IL 60611-2908
Phone (312) 695-0061
Other practice location 1
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665
Other practice location 2
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Anesthesiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500
901 Heartland Rd
Saint Joseph, MO 64506-6201
Hospital & facility affiliations
- Mosaic Life Care at St Joseph
- Mosaic Medical Center - Maryville
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036156090 | IL | MD | Anesthesiology Physician |
| 2024034940 | MO | MD | Anesthesiology Physician |
| 94-09014 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Center Association Inc | Current | Accepting new patients | |
| Heartland Regional Medical Center | Anesthesiology | Current | Accepting new patients |
| Northwest Medical Center Association Inc | Anesthesiology | Current | Accepting new patients |
| Mosaic Medical Center - Maryville | Current | Accepting new patients | |
| Heartland Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Mosaic Medical Center - Maryville | Anesthesiology | Current | Accepting new patients |
| Central Dupage Physician Group | Internal Medicine | Past | Accepting new patients |
Locations
705 N College St
Albany, MO 64402
Phone (660) 726-3941
2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213
Organizations & group practices 8
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.
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Internal Medicine
-
- Medicare Defined Swing Bed Hospital Unit
- Albany, MO
- NPI 1124164322
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1538200357
Anesthesiology
-
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
- Psychiatric Hospital Unit
- Maryville, MO
- NPI 1477027803
-
- Family Medicine Physician
- Albany, MO
- NPI 1447313721
Anesthesiology
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Critical Access Hospital
- Maryville, MO
- NPI 1265906663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1225487663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E HURON ST STE 5-704",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-695-0061",
"fax_number": "312-695-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST STE 5-704",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-695-0061",
"fax_number": "312-695-7605"
}
],
"practiceLocations": [
{
"address_1": "1010 N Kansas St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143124",
"country_code": "US",
"telephone_number": "316-293-2665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5325 Faraon St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063488",
"country_code": "US",
"telephone_number": "816-271-6350",
"fax_number": "816-271-6753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JARED",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2024034940",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "94-09014",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036156090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.