Active NPI
Jonathan Jerard Roberts, M.D.
- Internal Medicine Physician
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 021278
- Practice address
- 2240 W Thomas St
Hammond, LA 70401-2828 - Phone
- (985) 348-6139
- Fax
- (877) 870-5503
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021278 | LA | Primary |
Addresses
Primary practice location
2240 W Thomas St
Hammond, LA 70401-2828
Mailing address
2240 W Thomas St
Hammond, LA 70401-2828
Phone (985) 348-6139
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1930628 | Other | LA | INTERNAL MEDICINE |
| 1930628 | Medicaid | LA | |
| 021278 | Other | LA | M.D. LICENSE |
| 721511296 | Other | EMPLOYER TAX ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jonathan.roberts@centerwell.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 W Thomas St
Hammond, LA 70401-2828
Phone (985) 348-6139
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021278 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (la) PC | Internal Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (la) PC | Internal Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (la) PC | Internal Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (la) PC | Internal Medicine | Past | Accepting new patients |
Locations
2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737
2314 S Range Ave
Denham Springs, LA 70726
Phone (225) 480-4080
2240 W Thomas St
Hammond, LA 70401
Phone (985) 348-6139
Interoperability endpoints
- jonathan.roberts.1@29601.direct.athenahealth.com
- jonathan.roberts@centerwell.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1760005136
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1922621390
-
- Internal Medicine Physician
- Lake Charles, LA
- NPI 1952036998
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1235752692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1881751667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 W THOMAS ST",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012828",
"telephone_number": "985-348-6139",
"fax_number": "877-870-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 W THOMAS ST",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012828",
"telephone_number": "985-348-6139",
"fax_number": "877-870-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JONATHAN",
"middle_name": "JERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "021278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL MEDICINE",
"identifier": "1930628",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1930628",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.D. LICENSE",
"identifier": "021278",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER TAX ID",
"identifier": "721511296",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jonathan.roberts@centerwell.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2240 W Thomas St",
"city": "Hammond",
"state": "LA",
"country_code": "US",
"postal_code": "704012828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.