NPIMap

Individual provider Active NPI

Jeffrey S Roberts, MD

  • Radiation Oncology Physician
  • Asheville, NC
National Provider Identifier
1477548378
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
9900334 Issued in NC
Practice address
1 Hospital Drive Suite 102
Asheville, NC 28801-4565
Phone
(828) 225-1915
Fax
(828) 252-5180
NPI assigned
Sep 16, 2005
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 9900334 NC Primary

Addresses

Primary practice location

1 Hospital Drive Suite 102
Asheville, NC 28801-4565

Mailing address

2160 Colonial Boulevard
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100125000791 NC Practitioner - Radiation Oncology 7416099718 Reassigns benefits to 1 organization
I20240610000606 VA Practitioner - Radiation Oncology 7416099718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Eastern Virginia Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Specialists of Central Virginia PLCGroup PAC ID 9335045921, 7 clinicians

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 101
Fredericksburg, VA 22401-8451
Phone (540) 741-0655

171 Daniel Rd
Forest City, NC 28043-7151
Phone (828) 286-8669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9900334NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Specialists of Central Virginia PLC Radiation Oncology CurrentSince Jun 1, 2024 Accepting new patients
Sampson Radiation Oncology, PA Radiation Oncology Past Accepting new patients
Mary Washington Hospital Inc. PastSince Jun 1, 2024 Accepting new patients

Locations

1300 Hospital Dr
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-0655

125 Hospital Center Blvd
Ste 125
Stafford, VA 22554
Phone (540) 741-2210

Interoperability endpoints

  • Direct secure messaging: jeffery.roberts@directaddress.net

Organizations & group practices 4

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.

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1477548378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BOULEVARD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE SUITE 102",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014565",
            "telephone_number": "828-225-1915",
            "fax_number": "828-252-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "9900334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.