Individual provider Active NPI

Matthew A Roberts, DO

  • Obstetrics & Gynecology Physician
  • Ooltewah, TN
National Provider Identifier
1700878139
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO000938 Issued in TN
Practice address
6845 Mountain View Rd
Ooltewah, TN 37363-6561
Phone
(423) 910-0896
Fax
(423) 910-1183
NPI assigned
Aug 22, 2005
Reactivated
Apr 7, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO000938 TN Primary

Addresses

Primary practice location

6845 Mountain View Rd
Ooltewah, TN 37363-6561

Mailing address

6845 Mountain View Rd
Ooltewah, TN 37363-6561
Phone (423) 910-0896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000463 GA Practitioner - Obstetrics/Gynecology 0648244368 Reassigns benefits to 1 organization
I20080501000571 TN Practitioner - Obstetrics/Gynecology 0648244368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Services Chattanooga PCGroup PAC ID 0941283873, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

6845 Mountain View Rd
Ooltewah, TN 37363-6561
Phone (423) 910-0896

93 Robin Rd
Ringgold, GA 30736-2415
Phone (706) 861-4508

935 Spring Creek Rd
Suite 100
Chattanooga, TN 37412-3909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO000938TNMDObstetrics & Gynecology Physician
1055TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Services Chattanooga PC CurrentSince Jul 1, 2004 Accepting new patients
Womens Health Services Chattanooga PC Obstetrics & Gynecology CurrentSince Apr 18, 2017 Accepting new patients
Womens Health Services, Chattanooga PC Obstetrics & Gynecology Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations

3063 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 861-1976

4700 Battlefield Pkwy
Ste 220
Ringgold, GA 30736
Phone (423) 698-8692

93 Robin Rd
Ringgold, GA 30736
Phone (706) 861-4508

1829 Gunbarrel Rd
#B1
Chattanooga, TN 37421
Phone (423) 899-0464

1829 Gunbarrel Rd
Ste B
Chattanooga, TN 37421
Phone (423) 296-0407

1829 Gunbarrel Rd
Ste B1
Chattanooga, TN 37421
Phone (423) 899-0464

251 N Lyerly St
Ste 300
Chattanooga, TN 37404
Phone (423) 648-7770

6229 Vance Rd
Ste 119
Chattanooga, TN 37421
Phone (423) 296-8171

935 Spring Creek Rd
Ste 100
Chattanooga, TN 37412
Phone (423) 206-2655

6845 Mountain View Rd
Ooltewah, TN 37363
Phone (423) 910-0896

Interoperability endpoints

  • Direct secure messaging: matthew.roberts.1@15690.direct.athenahealth.com
  • Direct secure messaging: matthew.roberts.1@23211.direct.athenahealth.com

Organizations & group practices 4

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1700878139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 MOUNTAIN VIEW RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636561",
            "telephone_number": "423-910-0896",
            "fax_number": "423-910-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 MOUNTAIN VIEW RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636561",
            "telephone_number": "423-910-0896",
            "fax_number": "423-910-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2016-06-23",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO000938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.