Active NPI
Charles Stewart Roberts, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 15095
- Practice address
- 9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155 - Phone
- (843) 553-5616
- Fax
- (843) 764-2917
- NPI assigned
- Jun 23, 2006
- Last updated
- Nov 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 15095 | SC | Primary |
Addresses
Primary practice location
9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155
Mailing address
9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155
Phone (843) 553-5616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Thoracic Surgery
- Education
- Emory University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
4001 Worth St
Dallas, TX 75246-1608
611 N Hall St
400 Baylor Scott and White Cardiology Consult
Dallas, TX 75226-1337
Phone (469) 800-7400
621 N Hall St
Suite 120
Dallas, TX 75226-1307
Phone (214) 820-6856
Hospital & facility affiliations
- Baylor Scott & White Heart & Vascular Hospital - Dallas
- Baylor University Medical Center
- Hunt Regional Medical Center
- Baylor Scott & White Medical Center- Waxahachie
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Winchester Cardiothoracic and Vascular Surgeons, PLC | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
621 N Hall St
Ste 120
Dallas, TX 75226
Phone (214) 820-1723
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- croberts325836@direct.sw.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Legal Medicine
- Winchester, VA
- NPI 1326139577
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Waxahachie
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba Hunt Regional
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
dba Baylor Scott & White Heart and Vascular Hospital - Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1659307718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9313 MEDICAL PLAZA DR",
"address_2": "SUITE 304",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069155",
"telephone_number": "843-553-5616",
"fax_number": "843-764-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9313 MEDICAL PLAZA DR",
"address_2": "SUITE 304",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069155",
"telephone_number": "843-553-5616",
"fax_number": "843-764-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CHARLES",
"middle_name": "STEWART",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "SC",
"license": "15095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.