NPIMap

Individual provider Active NPI

Roger Dale Robertson II, D.O.

  • Urology Physician
  • Huntington, WV
National Provider Identifier
1275823544
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2769 Issued in WV
Practice address
1115 20TH St Ste 107
Huntington, WV 25703-0003
Phone
(304) 691-1900
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DO1568 AL
Urology Physician 208800000X 2769 WV Primary

Addresses

Primary practice location

1115 20TH St Ste 107
Huntington, WV 25703-0003

Mailing address

1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Phone (304) 691-1900

Other practice location 1

2900 1st Ave Ste 230
Huntington, WV 25702-1241
Phone (304) 525-3711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roger.robertson@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629000463 WV Practitioner - Urology 1557660248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

1220 Lee St E
Suite 100
Charleston, WV 25301-1864
Phone (304) 388-1965

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Rivers Health Hospital, Point Pleasant, WV, CCN 510012
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Point Pleasant Physician Billing Services CurrentSince Nov 1, 2023 Accepting new patients
St. Mary'S Medical Management, LLC Urology CurrentSince Aug 1, 2021 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince May 28, 2025 Accepting new patients
University Physicians & Surgeons, Inc Urology CurrentSince Sep 11, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince May 28, 2025 Accepting new patients
St. Mary'S Medical Management, LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1220 Lee St E
Ste 100
Charleston, WV 25301
Phone (304) 388-1965

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1115 20th St
Ste 107
Huntington, WV 25703
Phone (304) 691-1200

2900 1st Ave
Ste 230
Huntington, WV 25702
Phone (304) 525-3711

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • Direct secure messaging: dale.robertson@pvhhealth.direct.wvhin.org
  • Direct secure messaging: roger.robertson@marshall.cernerdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1275823544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE STE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-691-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 20TH ST STE 107",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257030003",
            "telephone_number": "304-691-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 1st Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021241",
            "country_code": "US",
            "telephone_number": "304-525-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ROGER",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "DO1568",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roger.robertson@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1115 20th St Ste 107",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257030003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.