Individual provider Active NPI

Nancy Sue Roberts, M.D.

  • Maternal & Fetal Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1376591743
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD019562E Issued in PA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1652891OtherPABC/BS HIGHMARK GROUP
30018989OtherPAKEYSTONE MERCY GROUP
001055531MedicaidPA
33659OtherPAHEALTH PARTNERS
3716970OtherPAAETNA US HEALTHCARE HMO
3716959OtherPAAETNA US HEALTHCARE GROUP
33657OtherPAHEALTH PARTNERS
33658OtherPAHEALTH PARTNERS
4092729OtherPAAETNA US HEALTHCARE
0052930000OtherPABC/BS KEYSTONE, PERSONAL
02640OtherPAHEALTH PARTNERS
149436OtherPABC/BS SHIELD HIGHMARK
2330386000OtherPABC/BS KEY, PER. GROUP
0105553107OtherPAAMERICHOICE
30018991OtherPAKEYSTONE MERCY

Other names 1

  • Nancy Sue Roberts-Reed Former name

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

OrganizationSpecialtyStatusNew patients
Main Line OB GYN Associates PastSince Jan 1, 2005 Accepting new patients
Womens Healthcare Group of Pennsylvania PastSince Jan 1, 2005 Accepting new patients
Women's Healthcare Group of Pennsylvania LLC PastSince Jan 1, 2005 Accepting new patients
Total Woman Health and Wellness OBGYN PastSince Jan 1, 2005 Accepting new patients
Women's Health Care Group of PA PastSince Jan 1, 2005 Accepting new patients
Womens Health Care Group of PA PastSince Jan 1, 2005 Accepting new patients
Women's Healthcare Group of PA Health Care for Women Only Division PastSince Jan 1, 2005 Accepting new patients
Womens Healthcare Group of PA. PastSince Jan 1, 2005 Accepting new patients
Great Valley OBGYN PastSince Jan 1, 2005 Accepting new patients
Women's Health Care Group of PA, Main Line Women's Health Care Div. PastSince Jan 1, 2005 Accepting new patients
Womens Health Care Group of PA Maternal & Fetal Medicine PastSince Jan 1, 2005 Accepting new patients
Womens Health Care Group of PA PastSince Jan 1, 2005 Accepting new patients
Valley Forge OB/GYN Division PastSince Jan 1, 2005 Accepting new patients
Whcgpa Center for Breast Health PastSince Jan 1, 2005 Accepting new patients
Women for Women Division/Women's Healthcare Group of PA PastSince Jan 1, 2005 Accepting new patients
Whcgpa Women's Health Care Associates of Bucks County PastSince Jan 1, 2005 Accepting new patients
Women for Women Division/Women's Healthcare Group of PA PastSince Jan 1, 2005 Accepting new patients
Womens Health Care Group of Pennsylvania LLC PastSince Jan 1, 2005 Accepting new patients
Women's Health Care Group of PA PastSince Jan 1, 2005 Accepting new patients

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.

View all 19

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.

Verify at the official NPI Registry.