Individual provider Active NPI

Lori Ann Roberts, D.O.

  • Anesthesiology Physician
  • Kansas City, MO
National Provider Identifier
1750525499
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2013031937 Issued in MO
Practice address
1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone
(334) 701-3952
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 2013031937 MO Primary

Addresses

Primary practice location

1000 Carondelet Dr
Kansas City, MO 64114-4673

Mailing address

6008 W 94TH Ter
Overland Park, KS 66207-2406

Other practice location 1

2411 Holmes St
Kansas City, MO 64108-2741
Phone (816) 235-6628

Other practice location 2

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140403001661 MO Practitioner - Anesthesiology 9032348628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Kansas City University of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-2819

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013031937MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Mercy Hospital CurrentSince Mar 28, 2024 Accepting new patients
Northstar Anesthesia of Missouri, LLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
The Children'S Mercy Hospital CurrentSince Mar 28, 2024 Accepting new patients

Locations

203 W Road Mize Rd
Ste 218
Blue Springs, MO 64014
Phone (816) 874-4181

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

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.

Hospital & facility affiliations 1

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1750525499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 W 94TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "334-701-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082741",
            "country_code": "US",
            "telephone_number": "816-235-6628",
            "fax_number": "816-932-6104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-234-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2013031937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.