Active NPI
Nancy Sue Roberts, M.D.
- Maternal & Fetal Medicine Physician
- Wynnewood, PA
National Provider Identifier
1376591743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD019562E
- Practice address
- 100 E Lancaster Ave
353 Medical Office Building East
Wynnewood, PA 19096-3450 - Phone
- (610) 649-9021
- Fax
- (610) 649-8058
- NPI assigned
- May 5, 2006
- Last updated
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | MD019562E | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
353 Medical Office Building East
Wynnewood, PA 19096-3450
Mailing address
100 E Lancaster Ave
353 Medical Office Building East
Wynnewood, PA 19096-3450
Phone (610) 649-9021
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1652891 | Other | PA | BC/BS HIGHMARK GROUP |
| 30018989 | Other | PA | KEYSTONE MERCY GROUP |
| 001055531 | Medicaid | PA | |
| 33659 | Other | PA | HEALTH PARTNERS |
| 3716970 | Other | PA | AETNA US HEALTHCARE HMO |
| 3716959 | Other | PA | AETNA US HEALTHCARE GROUP |
| 33657 | Other | PA | HEALTH PARTNERS |
| 33658 | Other | PA | HEALTH PARTNERS |
| 4092729 | Other | PA | AETNA US HEALTHCARE |
| 0052930000 | Other | PA | BC/BS KEYSTONE, PERSONAL |
| 02640 | Other | PA | HEALTH PARTNERS |
| 149436 | Other | PA | BC/BS SHIELD HIGHMARK |
| 2330386000 | Other | PA | BC/BS KEY, PER. GROUP |
| 0105553107 | Other | PA | AMERICHOICE |
| 30018991 | Other | PA | KEYSTONE MERCY |
Other names 1
- Nancy Sue Roberts-Reed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Organizations & group practices 19
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1376591743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "353 MEDICAL OFFICE BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-9021",
"fax_number": "610-649-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "353 MEDICAL OFFICE BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-9021",
"fax_number": "610-649-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "NANCY",
"middle_name": "SUE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "PA",
"license": "MD019562E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS HIGHMARK GROUP",
"identifier": "1652891",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY GROUP",
"identifier": "30018989",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001055531",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "33659",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE HMO",
"identifier": "3716970",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE GROUP",
"identifier": "3716959",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "33657",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "33658",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4092729",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KEYSTONE, PERSONAL",
"identifier": "0052930000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "02640",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS SHIELD HIGHMARK",
"identifier": "149436",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KEY, PER. GROUP",
"identifier": "2330386000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0105553107",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30018991",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "ROBERTS-REED",
"middle_name": "SUE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.