Chriss B Roberts, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1669 Issued in OK

Practice address

1306 SW 3Rd St
Wagoner, OK 74467-5518

Phone

(918) 485-4444

Fax

(918) 485-7407

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Family Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allied Home Health Services, Inc. Home health agency, Broken Arrow, OK, CCN 377437
• Allied Hospice, LLC Hospice, Broken Arrow, OK, CCN 371719
• Wagoner Community Hospital Hospital, Wagoner, OK, CCN 370166

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chriss.roberts.1@14254.direct.athenahealth.com

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Allied Hospice, LLC

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
  • NPI 1104342815

  Contracted Managing Employee

  CMS ownership

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.

• Allied Home Health Services, Inc.

  • Home Health Agency
  • Tulsa, OK
  • NPI 1427019710
  NPD (past)
• Jackson Medical Clinic, PC

  • General Practice Physician
  • Wagoner, OK
  • NPI 1457594699
  NPD (past)
• Wagoner Health & Rehab LLC

  • Skilled Nursing Facility
  • Wagoner, OK
  • NPI 1093186611
  NPD (past)
• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  NPD (past)

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

• Allied Home Health Services, Inc.

  • Home Health Agency
  • Tulsa, OK
  • NPI 1427019710
  Care Compare affiliation
• Allied Hospice, LLC

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
  • NPI 1104342815
  Care Compare affiliation
• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Care Compare affiliation
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1710979315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "address_2": "1306 S.W. THIRD",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744770870",
            "telephone_number": "918-485-4444",
            "fax_number": "918-485-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 SW 3RD ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744675518",
            "telephone_number": "918-485-4444",
            "fax_number": "918-485-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHRISS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100204950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ray
• Hazel Louise Reel, ARNP
• Cynthia Reese, LPC
• Wendy Faye Reese, MSW
• Shelly Deann Rice, O.D.
• Robin Rodriguez-Higginbottom, M.S.,CCC-SLP
• Rogers Drug Company Inc
• Selma Lea Rogers, M.S. CCC-SLP
• Cruz Rondon
• Taylor Renee Russell

• Family Medicine Physician in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.