Individual provider Active NPI

Robert R Roeser, D.O.

  • Internal Medicine Physician
  • Newton, KS
National Provider Identifier
1689670960
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R00000X Issued in KS
Practice address
715 Medical Center Dr
Suite 200
Newton, KS 67114-9056
Phone
(316) 283-6655
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207R00000X KS Primary

Addresses

Primary practice location

715 Medical Center Dr
Suite 200
Newton, KS 67114-9056

Mailing address

715 Medical Center Dr
Suite 200
Newton, KS 67114-9056
Phone (316) 283-6655

Other identifiers 1

IdentifierTypeStateIssuer
100640640-CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 1, 2017 through Aug 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207R00000XKSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Medical Specialties of Kansas, L.L.C. Internal Medicine Past Accepting new patients
Galichia Medical Group, P.a. Internal Medicine Past Accepting new patients

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1689670960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149056",
            "telephone_number": "316-283-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149056",
            "telephone_number": "316-283-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESER",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100640640-C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.