Active NPI
Tadd Nicholas Roberts, M.D.
- Emergency Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 44330
- Practice address
- 4000 Kresge Way
Louisville, KY 40207-4605 - Phone
- (502) 897-8141
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 48445 | KY | |
| Emergency Medicine Physician | 207P00000X | 44330 | KY | Primary |
Addresses
Primary practice location
4000 Kresge Way
Louisville, KY 40207-4605
Mailing address
PO Box 6749
Louisville, KY 40206-0749
Phone (502) 899-7716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100137810 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Louisville School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
Hospital & facility affiliations
- Baptist Health Louisville
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.66 of 100
- Quality
- 75.39
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48445 | KY | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Observational Medicine Associates PSC | Emergency Medicine | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Louisville Emergency Medicine Associates PSC | Emergency Medicine | Current | Accepting new patients |
| University Medical Center, Inc | Emergency Medicine | Past | Accepting new patients |
| University Emergency Medicine Associates P.S.C. | Emergency Medicine | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686
1903 W Hebron Ln
Shepherdsvlle, KY 40165
Phone (502) 587-4421
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1356018519
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1487604641
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1578625851
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1861554438
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648252800000",
"number": "1629240379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6749",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402060749",
"telephone_number": "502-899-7716",
"fax_number": "502-899-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 KRESGE WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074605",
"telephone_number": "502-897-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "TADD",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "KY",
"license": "48445",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "44330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100137810",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.