Ronald Earl Roberts Jr., M.D.
Individual provider Active NPI Internal Medicine Physician · Georgetown, KY
NPI 1386663979 · NPPES record last updated Sep 27, 2019
Key facts
- NPI
- 1386663979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 32142 (KY)
- Practice address
- 202 Bevins LN
Georgetown, KY 40324-6178 - Phone
- (859) 323-9333
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32142 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Regional Health Systems Inc | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- rroberts21248@ukhcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32142 | KY | |
| Internal Medicine Physician | 207R00000X | 32142 | KY | Yes |
Addresses
Primary practice location
202 Bevins LN
Georgetown, KY 40324-6178
Mailing address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Phone (859) 323-6793
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB5773 | Other | KY | RR MEDICARE GROUP |
| 64321425 | Medicaid | KY | |
| 4000501 | Other | KY | MEDICARE LAB GROUP |
| 110244643 | Other | KY | RR MEDICARE PIN |
Other providers in Georgetown, KY
- Morgan N Riley
- Steven Riley
- Letitia Roark
- Gregory Ladon Robbins
- Robert C. Culbertson, M.D., P.S.C.
- Tracy Anne Robinson
- Ann Marie Rodden
- Dixie Sierra Rodgers
- Andrea Wade Roe
- Nicholas Bernard Rogell
All providers in Georgetown, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.