Roberto Dos Remedios, MD
Individual provider Active NPI Pulmonary Disease Physician · Mayfield, KY
NPI 1497872899 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1497872899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 40940 (KY)
- Practice address
- 1111 Medical Center Cir
Mayfield, KY 42066-1194 - Phone
- (270) 251-4040
- Fax
- (855) 430-0335
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jackson Purchase Pulmonary Medicine PLLC
Practice addresses (Care Compare)
1111 Medical Ctr Cir
Mayfield, KY 42066-1194
Phone (270) 251-4040
Hospital & facility affiliations
- Jackson Purchase Medical Center
- Marshall County Hospital
- Baptist Memorial Hospital Union City
- Baptist Health Paducah
- Volunteer Community Hospital
- Jackson Purchase Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070822000360 | KY | Practitioner - Pulmonary Disease |
0749372886 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Purchase Pulmonary Medicine PLLC | Pulmonary Disease | Current |
Accepting new patients |
| Jackson Purchase Pulmonary Medicine PLLC | Current | Accepting new patients |
Locations
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1111 Medical Center Cir
Mayfield, KY 42066
Phone (270) 247-8100
1111 Medical Center Cir
#0
Mayfield, KY 42066
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFGGAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 40940 | KY | Yes |
Addresses
Primary practice location
1111 Medical Center Cir
Mayfield, KY 42066-1194
Mailing address
1111 Medical Center Cir
Mayfield, KY 42066-1194
Phone (270) 251-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40940 | Other | KY | STATE LIC |
| 239218 | Other | NY | NY LICENSE NO |
| 7100021670 | Medicaid | KY | |
| TP203 | Other | KY | TEMP LIC |
Other providers in Mayfield, KY
- Brenda Kay Dennis
- Betty Jean Desjarlais
- Brenda Joelle Dew
- Christopher D Dobrose
- Donald B Dowdy PSC
- Donald Bennett Dowdy
- Dr Daniel a Howard PLLC
- Dr Shah Clinic
- Dr Spainhower Chiropractic and Injury Care PLLC
- Dr Spainhower Chiropractic and Injury Care PLLC
All providers in Mayfield, KY · Pulmonary Disease 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 Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.