NPIMap

Individual provider Active NPI

Justin Kurt Roberts, M.D.

  • Surgery Physician
  • Livingston, MT
National Provider Identifier
1669434106
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M0244 Issued in TX
Practice address
320 Alpenglow LN
Livingston, MT 59047-8506
Phone
(406) 222-0800
Fax
(406) 222-7606
NPI assigned
Apr 3, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M0244 TX Primary

Addresses

Primary practice location

320 Alpenglow LN
Livingston, MT 59047-8506

Mailing address

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-0800

Other identifiers 3

IdentifierTypeStateIssuer
159582101OtherTXFIRSTCARE
170944613MedicaidTX
8AN710OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, MT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041220000495 TX Practitioner - General Surgery 9638132384 Reassigns benefits to 1 organization
I20150730010560 CO Practitioner - General Surgery 9638132384 Reassigns benefits to 1 organization
I20160713002809 MT Practitioner - General Surgery 9638132384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston HealthcareGroup PAC ID 5991613598, 66 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

104 Centennial Dr
Livingston, MT 59047-8101
Phone (406) 222-0030

300 Exempla Cir
Lafayette, CO 80026-3396

300 Exempla Cir
Suite 360 Im Heart and Vascular 360 Lafayet
Lafayette, CO 80026-3395
Phone (303) 272-0500

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.05 of 100Reported as group
Quality
59.76
Promoting interoperability
99
Improvement activities
40
Cost
54.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0244TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Physician Services PA Surgery CurrentSince Mar 1, 2024 Accepting new patients
Livingston Healthcare CurrentSince Jun 1, 2016 Accepting new patients
Livingston Healthcare Current Accepting new patients
Livingston Healthcare CurrentSince Jun 1, 2016 Accepting new patients
Justin K Roberts MD PA Surgery Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 14, 2024 Accepting new patients
Oklahoma Oncology & Hematology PC Past Accepting new patients
Glen Rose Medical Foundation Inc. Past Accepting new patients
Southwest Medical Associates, Inc. Past Accepting new patients
Oklahoma Oncology and Hematology, P.C. Past Accepting new patients
Glen Rose Medical Foundation Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

Interoperability endpoints

  • Direct secure messaging: justin.roberts@direct.myteamcare.com
  • Direct secure messaging: justin.roberts@livingstonhealthcare.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Livingston HealthcareLivingston, MT, CCN 271317 Hospital Corporate Director Jul 1, 2022
Livingston Healthcare Swing BedsLivingston, MT, CCN 27Z317 Hospital Corporate Director Jul 1, 2022
Livingston Healthcare Home Health and HospiceLivingston, MT, CCN 277060 Home health agency Corporate Director Jul 1, 2022
Livingston Hospice CareLivingston, MT, CCN 271504 Hospice Corporate Director Jul 1, 2023
Livingston HealthcareLivingston, MT, CCN 273995 Rural health clinic Corporate Director Jul 1, 2022

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1669434106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-222-0800",
            "fax_number": "406-222-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-222-0800",
            "fax_number": "406-222-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JUSTIN",
        "middle_name": "KURT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M0244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "159582101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170944613",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AN710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.