Individual provider Active NPI

Douglas L Roberts, MD

  • Cardiovascular Disease Physician
  • Orchard Park, NY
National Provider Identifier
1811931066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
106412 Issued in NY
Practice address
310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1569
Phone
(716) 677-6800
Fax
(716) 634-1930
NPI assigned
Jun 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 106412 NY Primary

Addresses

Primary practice location

310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1569

Mailing address

25 Fir Top Dr
Orchard Park, NY 14127-3516
Phone (716) 662-1266

Other identifiers 2

IdentifierTypeStateIssuer
00614219MedicaidNY
P00272412OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100609000341 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123017290 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

1616 Kensington Ave
Suite 1
Buffalo, NY 14215-1433
Phone (716) 834-3278

2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 891-2400

3091 William St
Cheektowaga, NY 14227-1919
Phone (716) 822-3098

310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1500
Phone (716) 677-6800

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

3669 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone (716) 662-0500

4855 Camp Rd
Hamburg, NY 14075-2600

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400

825 Wehrle Dr
Williamsville, NY 14221-7717
Phone (716) 634-3243

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106412NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Jul 8, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 8, 2017 Accepting new patients
Kenmore Mercy Hospital CurrentSince Jul 8, 2017 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jan 1, 2002 Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 11, 2017 Accepting new patients
Trinity Medical Wny PC Cardiovascular Disease CurrentSince Mar 11, 2017 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Jul 8, 2017 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

310 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-6800

310 Sterling Dr
Ste 100
Orchard Park, NY 14127
Phone (716) 677-6800

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

825 Wehrle Dr
Williamsville, NY 14221
Phone (716) 634-3243

Interoperability endpoints

  • Direct secure messaging: douglasroberts@cgowny.allscriptsdirect.net
  • Direct secure messaging: droberts109720@direct.chsbuffalo.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811931066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FIR TOP DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273516",
            "telephone_number": "716-662-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STERLING DR",
            "address_2": "SUITE 100",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271569",
            "telephone_number": "716-677-6800",
            "fax_number": "716-634-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "106412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00614219",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00272412",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.