Jesse Andrew Roberts, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R5B16 Issued in MO

Practice address

2900 Clay Edwards Dr
Northcare Hospice
Kansas City, MO 64116-3221

Phone

(816) 691-5119

Fax

(816) 346-7119

NPI assigned

Mar 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1811011570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CLAY EDWARDS DR",
            "address_2": "NORTHCARE HOSPICE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163221",
            "telephone_number": "816-691-5119",
            "fax_number": "816-346-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CLAY EDWARDS DR",
            "address_2": "NORTHCARE HOSPICE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163221",
            "telephone_number": "816-691-5119",
            "fax_number": "816-346-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5B16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Roberts, PLPC
• Charles Christian Roberts, M.D.
• Christina Marie Roberts, MD
• Darian Roberts
• Gabrielle Roberts
• Kimberly J Roberts, RN
• Kirk Andrew Roberts, MD
• Lauren Elizabeth Roberts
• Lori Ann Roberts, D.O.
• Marilyn Roberts

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.