Individual provider Active NPI

John R Roberts, MD

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
National Provider Identifier
1851380976
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD.24556 Issued in AL
Practice address
3626 Memorial Pkwy SW
Huntsville, AL 35801-5320
Phone
(256) 715-7483
Fax
(256) 715-7414
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD.24556 AL Primary

Addresses

Primary practice location

3626 Memorial Pkwy SW
Huntsville, AL 35801-5320

Mailing address

3626 Memorial Pkwy SW
Huntsville, AL 35801-5320
Phone (256) 715-7483

Other identifiers 1

IdentifierTypeStateIssuer
009990760MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170405001030 AL Practitioner - Pain ManagementPractitioner - Anesthesiology 9638135734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livinghealthymd PCGroup PAC ID 1658775226, 9 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

2314 Pansy St SW
Huntsville, AL 35801-3803

431 Johnston St SE
Decatur, AL 35601-3007
Phone (256) 715-7483

460 Lanier Rd
Suite 100
Madison, AL 35758-2632
Phone (256) 319-9000

Hospital & facility affiliations

  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.24556ALMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Livinghealthymd PC CurrentSince Jun 17, 2021 Accepting new patients
Tennessee Valley Pain Consultants, PC Pain Medicine CurrentSince Jan 7, 2017 Accepting new patients
Alabama Smile Builders, P.C. Past Accepting new patients

Locations

1122 14th Ave SE
Decatur, AL 35601
Phone (256) 560-2890

431 Johnston St SE
Decatur, AL 35601
Phone (256) 355-1744

2117 Veterans Dr SE
Decatur, AL 35601

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

122 Helton Ct
Florence, AL 35630
Phone (256) 718-0099

201 Governors Dr SW
Ste 400
Huntsville, AL 35801
Phone (256) 265-7246

2314 Pansy St SW
Huntsville, AL 35801
Phone (256) 534-5028

2009 Gallatin St SW
Huntsville, AL 35801

3626 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 715-7483

201 Governors Dr SW
Fl 4
Huntsville, AL 35801
Phone (256) 265-7246

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

460 Lanier Rd
Ste 204
Madison, AL 35758
Phone (256) 319-9000

460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200

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 5

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1851380976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015320",
            "telephone_number": "256-715-7483",
            "fax_number": "256-704-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015320",
            "telephone_number": "256-715-7483",
            "fax_number": "256-715-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD.24556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009990760",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.