Individual provider Active NPI

Richard V Roberts, MD

  • Orthopaedic Surgery of the Spine Physician
  • Owosso, MI
National Provider Identifier
1285155234
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
4301513116 Issued in MI
Practice address
819 N Shiawassee St Ste 200
Owosso, MI 48867-1601
Phone
(989) 541-2663
Fax
(989) 723-3601
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301513116 MI
Orthopaedic Surgery of the Spine Physician 207XS0117X 4301513116 MI Primary

Addresses

Primary practice location

819 N Shiawassee St Ste 200
Owosso, MI 48867-1601

Mailing address

819 N Shiawassee St Ste 200
Owosso, MI 48867-1601
Phone (989) 541-2663

Other identifiers 1

IdentifierTypeStateIssuer
1285155234MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20250129000810 MI Practitioner - Orthopedic Surgery 8224308556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

1000 E Sturgis St
9 MH Ortho SM and RH St Johns
Saint Johns, MI 48879-2068
Phone (989) 227-1371

218 W Main St
Flushing, MI 48433-2032
Phone (989) 723-5211

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

819 N Shiawassee St
Owosso, MI 48867-1601

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Memorial Hospital Orthopaedic Surgery Current Accepting new patients
Memorial Hospital Orthopaedic Surgery CurrentSince Feb 1, 2025 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

218 W Main St
Ste 300
Flushing, MI 48433
Phone (989) 723-5211

819 N Shiawassee St
Ste 200
Owosso, MI 48867
Phone (989) 541-2663

113 E Williams St
Owosso, MI 48867
Phone (989) 725-6101

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

1000 E Sturgis St
Ste 9
Saint Johns, MI 48879
Phone (989) 224-2100

Interoperability endpoints

  • Direct secure messaging: rrobertsw@memorialhealthcare.midirect.net

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1285155234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 200",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 200",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RICHARD",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301513116",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "4301513116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285155234",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.