Active NPI
Charles Roberts, MD
- Interventional Pain Medicine Physician
- Crestview Hills, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 48818
- Practice address
- 2845 Chancellor Dr
Crestview Hills, KY 41017-3418 - Phone
- (859) 301-2663
- Fax
- (859) 817-7848
- NPI assigned
- Jul 28, 2006
- Last updated
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 48818 | KY | |
| Anesthesiology Physician | 207L00000X | D69123 | MD | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | D69123 | MD | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 48818 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 48818 | KY | Primary |
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | D69123 | MD |
Addresses
Primary practice location
2845 Chancellor Dr
Crestview Hills, KY 41017-3418
Mailing address
560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Virginia Commonwealth University, School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2000
162 Barnwood Dr
Edgewood, KY 41017-2501
Phone (859) 331-4159
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 537-1010
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D69123 | MD | MD | Hospice and Palliative Medicine (Anesthesiology) Physician |
| 48818 | KY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Pain and Wellness | Current | Accepting new patients | |
| Anesthesia Group Practice, Inc | Anesthesiology | Current | Accepting new patients |
| Pain Specialists of Cincinnati, LLC | Current | Accepting new patients | |
| Regenlife Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Interventional Pain Medicine | Past | Accepting new patients |
Locations
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
2845 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-3412
340 Thomas More Pkwy
Ste 260
Crestview Hills, KY 41017
Phone (859) 957-0700
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
162 Barnwood Dr
Edgewood, KY 41017
Phone (859) 331-4159
Interoperability endpoints
- croberts187088@direct-prd.stelizabeth.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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Cincinnati, OH
- NPI 1558740282
KY
-
- Orthopaedic Surgery Physician
- Edgewood, KY
- NPI 1598714560
-
- Pain Medicine Physician
- Crestview Hills, KY
- NPI 1235975749
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Interventional Pain Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Ft. Thomas
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1366456162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S LOOP RD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173405",
"telephone_number": "859-301-2663",
"fax_number": "859-817-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 CHANCELLOR DR",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173418",
"telephone_number": "859-301-2663",
"fax_number": "859-817-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "48818",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D69123",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "MD",
"license": "D69123",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KY",
"license": "48818",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "48818",
"primary": true
},
{
"code": "207LH0002X",
"taxonomy_group": "",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "MD",
"license": "D69123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.