Individual provider Active NPI

Benjamin W Roberts, MD

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1649256819
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23503 Issued in AL
Practice address
700 18TH St S
Suite 707
Birmingham, AL 35233-1856
Phone
(205) 329-7100
Fax
(205) 329-7101
NPI assigned
Dec 20, 2005
Last updated
Apr 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23503 AL Primary

Addresses

Primary practice location

700 18TH St S
Suite 707
Birmingham, AL 35233-1856

Mailing address

700 18TH St S
Suite 707
Birmingham, AL 35233-1856
Phone (205) 329-7100

Other identifiers 4

IdentifierTypeStateIssuer
0810491OtherALUNITED HEALTH CARE
H85083OtherALHEALTH SPRING
51516269OtherALBLUE CROSS
009921315/529403900MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100608000738 AL Practitioner - Ophthalmology 0648300251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1912 Cherokee Ave SW
Suite 1100
Cullman, AL 35055-5589
Phone (205) 329-7100

2910 Morgan Rd
Suite 100
Bessemer, AL 35022-6476
Phone (205) 329-7100

302 Oakhill Rd
Jasper, AL 35504-7465
Phone (205) 329-7100

700 18TH St S
Suite 707
Birmingham, AL 35233-3806
Phone (205) 329-7100

700 S 18TH St
Suite 707
Birmingham, AL 35233-3806

960 Rocket Way
Suite 120
Gardendale, AL 35071-4750
Phone (205) 329-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23503ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dachelet & Associates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: broberts@rcaretina.intellechartdirect.net

Organizations & group practices 2

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 2

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1649256819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 18TH ST S",
            "address_2": "SUITE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331856",
            "telephone_number": "205-329-7100",
            "fax_number": "205-329-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 18TH ST S",
            "address_2": "SUITE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331856",
            "telephone_number": "205-329-7100",
            "fax_number": "205-329-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BENJAMIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "23503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0810491",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRING",
            "identifier": "H85083",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51516269",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009921315/529403900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.