NPIMap

Individual provider Active NPI

David Neil Roberts, M.D.

  • Gastroenterology Physician
  • Edmond, OK
National Provider Identifier
1285799825
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24926 Issued in OK
Practice address
2017 W I 35 Frontage Rd Ste 190
Edmond, OK 73013-8559
Phone
(405) 340-4937
Fax
(405) 341-3078
NPI assigned
Dec 26, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24926 OK
Gastroenterology Physician 207RG0100X 24926 OK Primary

Addresses

Primary practice location

2017 W I 35 Frontage Rd Ste 190
Edmond, OK 73013-8559

Mailing address

2017 W I 35 Frontage Rd Ste 190
Edmond, OK 73013-8559
Phone (405) 340-4937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070420000511 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 1759486624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

2017 W I 35 Frontage Rd
Mercy Clinic
Edmond, OK 73013-8504
Phone (405) 757-3365

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy175
Upper gastrointestinal (GI) endoscopy for acid reflux158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
The Physicians Group LLC Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Inpatient Consultants of Texas, PLLC Internal Medicine Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Apr 3, 2022 Accepting new patients

Locations

1616 S Kelly Ave
Edmond, OK 73013
Phone (405) 330-0015

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

2017 W I 35 Frontage Rd
Ste 190
Edmond, OK 73013
Phone (405) 340-4937

608 Liberty Ln
Edmond, OK 73034
Phone (405) 341-8829

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Interoperability endpoints

  • Direct secure messaging: dneilroberts@okss.allscriptsdirect.net
  • Direct secure messaging: droberts1283462@directc.mercy.net
  • Direct secure messaging: neil.roberts.1@17372.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1285799825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD STE 190",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138559",
            "telephone_number": "405-340-4937",
            "fax_number": "405-341-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD STE 190",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138559",
            "telephone_number": "405-340-4937",
            "fax_number": "405-341-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DAVID",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24926",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "24926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.