NPIMap

Individual provider Active NPI

J. Romaine Roberts, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Chicago, IL
National Provider Identifier
1376528802
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
036.073364 Issued in IL
Practice address
1229 N North Branch St
Chicago, IL 60642-2473
Phone
(312) 445-5673
Fax
(312) 284-4755
NPI assigned
Dec 7, 2005
Last updated
Oct 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D59996 MD
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036.073364 IL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 0101233240 IN

Addresses

Primary practice location

1229 N North Branch St
Chicago, IL 60642-2473

Mailing address

1229 N North Branch St
Chicago, IL 60642-2473
Phone (312) 445-5673

Other names 1

  • Dr. Julia Romaine Roberts Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070502000064 IL Practitioner - General PracticePractitioner - AnesthesiologyPractitioner - Family PracticePractitioner - Geriatric Medicine 8921066606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Anesthesiology, Family Practice, Geriatric Medicine
Education
Howard University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1820 W 102ND PL
Chicago, IL 60643-5601
Phone (312) 678-1163

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.073364ILMDGeriatric Medicine (Family Medicine) Physician
0101233240INMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simpkins Medical Inc CurrentSince Sep 1, 2022 Accepting new patients
J R Roberts Medical Inc CurrentSince Jul 8, 2022 Accepting new patients
Madison Avenue Anesthesia Placement Services Anesthesiology Past Accepting new patients
Washington Hospital Center Corp Anesthesiology Past Accepting new patients
Aac National PLLC Anesthesiology Past Accepting new patients
RJM Wellness Corp Past Accepting new patients
Mobile Ultrasound LLC Past Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients
Gemini Health and Wellness LLC PastSince Oct 14, 2024 Accepting new patients
Sterling Anesthesia Management Services of Maryland Anesthesiology Past Accepting new patients
Southwest Anesthesia Consultants, LLC Past Accepting new patients
Midwest Physicians Network Inc PastSince Sep 6, 2009 Accepting new patients
Atlantic General Hospital Corporation Anesthesiology Past Accepting new patients
Lindenhurst Anesthesia PLLC Anesthesiology Past Accepting new patients
American Anesthesiology Associates of Illinois, S.C. Anesthesiology Past Accepting new patients
Lake Mi Mobile Doctors P.C. Past Accepting new patients

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1376528802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 N NORTH BRANCH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422473",
            "telephone_number": "312-445-5673",
            "fax_number": "312-284-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 N NORTH BRANCH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422473",
            "telephone_number": "312-445-5673",
            "fax_number": "312-284-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "J. ROMAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D59996",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036.073364",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "0101233240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "ROBERTS",
            "middle_name": "ROMAINE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.