Individual provider Active NPI

Carmen Amelia Taype-Roberts, M.D., PH.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1609039734
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
036.156003 Issued in IL
Practice address
251 E Huron St
Chicago, IL 60611-2908
Phone
(312) 296-2000
Fax
(312) 695-5873
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 40537 SC
Pulmonary Disease Physician 207RP1001X A114901 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 036.156003 IL Primary

Addresses

Primary practice location

251 E Huron St
Chicago, IL 60611-2908

Mailing address

251 E Huron St
Chicago, IL 60611-3055
Phone (312) 296-2000

Other practice location 1

401 E Cheves St Ste 202
Florence, SC 29506-2615
Phone (843) 777-7863

Other practice location 2

841 Kuhn Dr
suite 200
Chula Vista, CA 91914-4523
Phone (619) 482-7301

Other identifiers 1

IdentifierTypeStateIssuer
405378MedicaidSC

Other names 1

  • Carmen Taype Perez de Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20170615001008 SC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0547482663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

401 E Cheves St
Suite 202
Florence, SC 29506-2615
Phone (843) 777-7863

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107
  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114901CAMDPulmonary Disease Physician
40537SCMDPulmonary Disease Physician
036.156003ILMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 28, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 28, 2018 Accepting new patients

Locations

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

101 S Ravenel St
Ste 230
Florence, SC 29506
Phone (843) 777-3850

401 E Cheves St
Ste 202
Florence, SC 29506
Phone (843) 777-7166

Interoperability endpoints

  • Direct secure messaging: ctaypeperezderoberts23426@directmcleodehealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1609039734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113055",
            "telephone_number": "312-296-2000",
            "fax_number": "312-695-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-296-2000",
            "fax_number": "312-695-5873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Cheves St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062615",
            "country_code": "US",
            "telephone_number": "843-777-7863",
            "fax_number": "843-777-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Kuhn Dr",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144523",
            "country_code": "US",
            "telephone_number": "619-482-7301",
            "fax_number": "619-505-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYPE-ROBERTS",
        "first_name": "CARMEN",
        "middle_name": "AMELIA",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "40537",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A114901",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036.156003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405378",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "TAYPE PEREZ DE ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.