Individual provider Active NPI

Karl C Roberts, M.D.

  • Orthopaedic Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1508827049
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301072367 Issued in MI
Practice address
2144 E Paris Ave SE Ste 240
Grand Rapids, MI 49546-6117
Phone
(616) 949-8945
Fax
(616) 949-1115
NPI assigned
Mar 31, 2006
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301072367 MI Primary

Addresses

Primary practice location

2144 E Paris Ave SE Ste 240
Grand Rapids, MI 49546-6117

Mailing address

2144 E Paris Ave SE Ste 240
Grand Rapids, MI 49546-6117
Phone (616) 949-8945

Other identifiers 1

IdentifierTypeStateIssuer
4514905MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071214000645 MI Practitioner - Orthopedic Surgery 8123118098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Michigan Bone and Joint Surgeons PCGroup PAC ID 8224128194, 5 clinicians
Spectrum Health HospitalsGroup PAC ID 8921904764, shared by 9 NPIs, 161 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

2144 E Paris Ave SE
Suite 240
Grand Rapids, MI 49546-6117
Phone (616) 949-8945

25 Michigan St NE
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49503-2515
Phone (616) 391-3777

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
85.52
Promoting interoperability
100
Improvement activities
40
Cost
57.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement31
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Michigan Bone & Joint Surgeons PC Orthopaedic Surgery CurrentSince Aug 27, 2007 Accepting new patients
Spectrum Health Hospitals Orthopaedic Surgery CurrentSince Sep 11, 2007 Accepting new patients
Spectrum Health Hospitals CurrentSince Sep 11, 2007 Accepting new patients

Locations

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1000 East Paris Ave SE
Ste 215
Grand Rapids, MI 49546
Phone (616) 279-3725

2144 East Paris Ave SE
Ste 240
Grand Rapids, MI 49546
Phone (616) 949-8945

221 Michigan St NE
Ste 200
Grand Rapids, MI 49503
Phone (616) 391-8635

25 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-0800

275 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7900

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1508827049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466117",
            "telephone_number": "616-949-8945",
            "fax_number": "616-949-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466117",
            "telephone_number": "616-949-8945",
            "fax_number": "616-949-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KARL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301072367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4514905",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.