Individual provider Active NPI

David E Roberts, MD

  • Cardiovascular Disease Physician
  • Chillicothe, OH
National Provider Identifier
1609896778
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.035069 Issued in OH
Practice address
4437 St RT 159
Suite 125
Chillicothe, OH 45601
Phone
(740) 779-4570
Fax
(740) 779-4579
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.035069 OH Primary

Addresses

Primary practice location

4437 St RT 159
Suite 125
Chillicothe, OH 45601

Mailing address

4437 St RT 159
Suite 125
Chillicothe, OH 45601
Phone (740) 779-4570

Other identifiers 1

IdentifierTypeStateIssuer
0225796MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.cardio@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040203000141 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800789173 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.035069OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Feb 22, 2010 Accepting new patients
Fayette County Memorial Hospital Past Accepting new patients
Adena Fayette Medical Center Past Accepting new patients

Locations

4439 State Route 159
Ste 240
Chillicothe, OH 45601
Phone (740) 772-4040

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1609896778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 ST RT 159",
            "address_2": "SUITE 125",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-779-4570",
            "fax_number": "740-779-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 ST RT 159",
            "address_2": "SUITE 125",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-779-4570",
            "fax_number": "740-779-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.035069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225796",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.cardio@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4437 St Rt 159",
            "address_2": "Suite 125",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.