Individual provider Active NPI

Andrew C Roberts, MD

  • Urology Physician
  • Bedford, TX
National Provider Identifier
1700826260
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K9888 Issued in TX
Practice address
1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936
Phone
(817) 784-8268
Fax
(817) 283-8003
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K9888 TX Primary

Addresses

Primary practice location

1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936

Mailing address

4002 S Loop 256 Ste G
Palestine, TX 75801-8499
Phone (903) 731-5305

Other identifiers 1

IdentifierTypeStateIssuer
042921902MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000649 TX Practitioner - Urology 9133191372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

4000 S Loop
Suite 256
Palestine, TX 75801
Phone (903) 731-5368

Hospital & facility affiliations

  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
  • Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Specialty Physicians CurrentSince Dec 1, 2022 Accepting new patients
Medical Clinic of North Texas, PLLC Urology CurrentSince Jul 29, 2019 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince May 1, 2015 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jul 29, 2019 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince May 1, 2015 Accepting new patients
Texas Specialty Physicians CurrentSince Dec 1, 2022 Accepting new patients
Texas Specialty Physicians Urology Current Accepting new patients
Urology Tyler, PA Urology Past Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

1615 Hospital Pkwy
Ste 204
Bedford, TX 76022
Phone (817) 684-5002

1604 Hospital Pkwy
Ste 201
Bedford, TX 76022
Phone (682) 688-2020

249 S Craig St
Buffalo, TX 75831
Phone (903) 322-1080

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

4002 S Loop 256
Ste G
Palestine, TX 75801
Phone (903) 723-2427

4000 S Loop 256
Palestine, TX 75801
Phone (903) 731-5000

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

910 E Houston St
Ste 470
Tyler, TX 75702
Phone (903) 526-2644

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: andrew.roberts.1@20210.direct.athenahealth.com
  • Direct secure messaging: ird4392@yourcarecommunity.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1700826260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256 STE G",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018499",
            "telephone_number": "903-731-5305",
            "fax_number": "903-731-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 204",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225936",
            "telephone_number": "817-784-8268",
            "fax_number": "817-283-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K9888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042921902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.