Caleb David Roberts

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.005938RX Issued in OH

Practice address

247 S Burnett Rd Ste 210
Springfield, OH 45505-2663

Phone

(937) 328-8850

NPI assigned

Apr 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Health Physicians Springfield Primary Care LLCGroup PAC ID 7315361359, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
• Mercy Health - Urbana Hospital Hospital, Urbana, OH, CCN 361312

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Mercy Health Physicians Springfield Primary Care LLC

  • Family Medicine Physician
  • Urbana, OH
  • NPI 1427679067
  Medicare reassignment Care Compare group
• Mercy Health Physicians Springfield Specialty Care LLC

  • Surgery Physician
  • Springfield, OH
  • NPI 1790308104

  Physician Assistant

  Medicare reassignment NPD

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

• Community Mercy Health Partners

  • Critical Access Hospital
  • Urbana, OH
  • NPI 1144286352
  Care Compare affiliation
• Community Mercy Health Partners

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  Care Compare affiliation
• Community Mercy Health Partners

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982728036

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1750944096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD STE 210",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052663",
            "telephone_number": "937-328-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD STE 210",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052663",
            "telephone_number": "937-328-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Dressler Rd NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182545",
            "country_code": "US",
            "telephone_number": "330-493-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CALEB",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005938RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley W Roach
• Alicia Roark, LPN
• Dennis O Roark, OD
• Janet M Roberto, M.D.
• Mark S Roberto, M.D.
• Maitland Marie Roberts
• Sarisee Roberts
• Lesa Robinette
• Sherry Robinette, D.D.S
• Chad Derek Robinson

• Physician Assistant in Springfield, OH
• Providers in Springfield, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.