Individual provider Active NPI

Robert Earl Roberts III, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, PA
National Provider Identifier
1851419378
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD430606 Issued in PA
Practice address
1671 Crooked Oak Dr
Lancaster, PA 17601-4269
Phone
(717) 569-5331
Fax
(717) 569-4210
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD430606 PA Primary

Addresses

Primary practice location

1671 Crooked Oak Dr
Lancaster, PA 17601-4269

Mailing address

1671 Crooked Oak Dr
Lancaster, PA 17601-4269
Phone (717) 569-5331

Other identifiers 1

IdentifierTypeStateIssuer
102156863-0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081015000609 PA Practitioner - Physical Medicine and Rehabilitation 8527126887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3197

51 Peters Rd
Lititz, PA 17543-7685
Phone (717) 544-3197

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD430606PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Hospital CurrentSince Jan 17, 2024 Accepting new patients
Lancaster General Medical Group Physical Medicine & Rehabilitation CurrentSince Jan 1, 2019 Accepting new patients
Lancaster General Hospital CurrentSince Jan 17, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
PA Rehab Associates PC Physical Medicine & Rehabilitation Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Tara Lyn Cuda DO PC Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

1701 Cornwall Rd
Lebanon, PA 17042
Phone (717) 675-1750

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

Interoperability endpoints

  • Direct secure messaging: rroberts91752@direct-lghealth.org

Organizations & group practices 9

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 3

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1851419378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 CROOKED OAK DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014269",
            "telephone_number": "717-569-5331",
            "fax_number": "717-569-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 CROOKED OAK DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014269",
            "telephone_number": "717-569-5331",
            "fax_number": "717-569-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD430606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102156863-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.