Benjamin Stanley Roberts, DO

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

20A15422 Issued in CA

Practice address

25150 Hancock Ave Ste 204
Murrieta, CA 92562-5989

Phone

(951) 698-8222

Fax

(951) 698-7411

NPI assigned

Dec 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Otolaryngology

Education

Oklahoma State University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trivalley Ear Nose ThroatGroup PAC ID 3173813268, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

Merit-based Incentive Payment System (MIPS)

Final score

95.06 of 100Reported as group

Quality

90.12

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Trivalley Ear Nose Throat

  • Otolaryngology/Facial Plastic Surgery Physician
  • Murrieta, CA
  • NPI 1063881605
  Medicare reassignment Care Compare group NPD
• Hemet Valley Medical Center

  • General Acute Care Hospital
  • Hemet, CA
  • NPI 1508939349
  NPD (past)
• Temecula Valley Hospital Inc

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201
  NPD (past)
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  NPD (past)

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

• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  Care Compare affiliation

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740526748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-698-8222",
            "fax_number": "951-698-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625989",
            "telephone_number": "951-698-8222",
            "fax_number": "951-698-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279020",
            "country_code": "US",
            "telephone_number": "918-599-5922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BENJAMIN",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "20A15422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Recovery Resources
• Riverside Recovery Resources
• Summer Rober
• Robert Kollmorgen DO Inc
• Robert McGraw Apc
• Georgia Roberts, LCSW
• Olivia Roberts
• Shannon Lynn Roberts, RN
• Todd M. Roberts, D.O.
• Christina Robin

• Otolaryngology/Facial Plastic Surgery Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.