Individual provider Active NPI

Janet M Roberto, M.D.

  • Family Medicine Physician
  • Springfield, OH
National Provider Identifier
1760485650
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-05-4731-R Issued in OH
Practice address
3250 Middle Urbana Rd
Springfield, OH 45502-9285
Phone
(937) 399-7777
Fax
(937) 399-6794
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-05-4731-R OH Primary

Addresses

Primary practice location

3250 Middle Urbana Rd
Springfield, OH 45502-9285

Mailing address

3250 Middle Urbana Rd
Springfield, OH 45502-9285
Phone (937) 399-7777

Other identifiers 7

IdentifierTypeStateIssuer
000000013666OtherOHANTHEM
0686968MedicaidOH
080014512OtherOHRR MEDICARE
0120629OtherOHUNITED HEATLH CARE
OH0030706OtherOHTRICARE/CHAMPUS
311202780002OtherOHCIGNA
4065874OtherOHAETNA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jroberto474865@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000152 OH Practitioner - Family Practice 6103859525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

2300 N Limestone St
Suite 120
Springfield, OH 45503-1102
Phone (937) 504-8390

3250 Middle Urbana Rd
Springfield, OH 45502-9285
Phone (937) 399-7777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Dec 1, 2018 Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

3250 Middle Urbana Rd
#1
Springfield, OH 45502

3250 Middle Urbana Rd
Springfield, OH 45502
Phone (937) 399-7777

2300 N Limestone St
Ste 120
Springfield, OH 45503
Phone (866) 224-9472

2100 Emmanuel Way
Ste B
Springfield, OH 45502
Phone (937) 398-0020

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 2

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 4

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1760485650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 MIDDLE URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029285",
            "telephone_number": "937-399-7777",
            "fax_number": "937-399-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MIDDLE URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029285",
            "telephone_number": "937-399-7777",
            "fax_number": "937-399-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTO",
        "first_name": "JANET",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-4731-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000013666",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0686968",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080014512",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATLH CARE",
            "identifier": "0120629",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "OH0030706",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "311202780002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4065874",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroberto474865@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3250 Middle Urbana Rd",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455029285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3250 Middle Urbana Rd",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455029285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.