Individual provider Active NPI

Blair Cooke Roberts, MD

  • Family Medicine Physician
  • Methuen, MA
National Provider Identifier
1316933005
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73104 Issued in MA
Practice address
70 East Street
MFHC
Methuen, MA 01805-0001
Phone
(978) 683-3491
Fax
(978) 683-3058
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 73104 MA Primary

Addresses

Primary practice location

70 East Street
MFHC
Methuen, MA 01805-0001

Mailing address

70 East Street
MFHC
Methuen, MA 01805-0001
Phone (978) 683-3491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041006000046 MA Practitioner - Family Practice 8729047709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

147 Pelham St
Methuen, MA 01844-2060
Phone (978) 683-3491

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lawrence Family Health Center, Inc. CurrentSince Apr 4, 2016 Accepting new patients
Lahey Clinic, Inc. CurrentSince Oct 15, 2011 Accepting new patients
Lahey Clinic, Inc CurrentSince Oct 15, 2011 Accepting new patients
Greater Lawrence Family Health Center Inc CurrentSince Apr 4, 2016 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

150 Park St
Lawrence, MA 01841
Phone (978) 685-1770

130 Parker St
Lawrence, MA 01843
Phone (978) 686-3017

34 Haverhill St
Lawrence, MA 01841

70 East St
Methuen, MA 01844
Phone (978) 682-1906

147 Pelham St
Methuen, MA 01844
Phone (978) 683-3491

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1316933005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 EAST STREET",
            "address_2": "MFHC",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "978-683-3491",
            "fax_number": "978-683-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EAST STREET",
            "address_2": "MFHC",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "978-683-3491",
            "fax_number": "978-683-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BLAIR",
        "middle_name": "COOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "73104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.