Sidney C Roberts III, MD

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

License

MD34661 Issued in TN

Practice address

2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810

Phone

(865) 546-9484

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Tennessee, HSC, College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Radiology, PCGroup PAC ID 9234041559, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
• Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
• Roane Medical Center Hospital, Harriman, TN, CCN 440031
• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score

79.28 of 100Reported as group

Quality

75.62

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vista Radiology, PC.

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1386698710

  KY, Pediatric Radiology

  Medicare reassignment Care Compare group NPD
• Covenant Health Diagnostic Centers, LLC

  • Physiological Laboratory
  • Knoxville, TN
  • NPI 1255950895
  Medicare reassignment NPD
• Covenant Health Diagnostic Centers, LLC

  • Physiological Laboratory
  • Knoxville, TN
  • NPI 1437886918
  Medicare reassignment NPD
• Downtown Radiology Inc

  • Mammography Radiologic Technologist
  • Middlesboro, KY
  • NPI 1922035443
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fort Loudoun Medical Center

  • General Acute Care Hospital
  • Lenoir City, TN
  • NPI 1609860659
  Care Compare affiliation
• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation
• Roane County Medical Center

  • General Acute Care Hospital
  • Harriman, TN
  • NPI 1700036696
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1891765061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-546-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-546-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SIDNEY",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TN",
            "license": "MD34661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3859285",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372353",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Noble Roberts, R.PH
• Regina Lee Roberts, LCSW
• Roy Franklin Roberts Jr., M.D.
• Sarah Anne Roberts
• Scott Roberts, CRNA
• Sonia Roberts, MSSW
• Spencer Lee Roberts, PHARM.D.
• Stephanie L Roberts, LSP
• Susan A Roberts, LCSW
• Susan B Roberts, M.D.

• Pediatric Radiology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.

Verify at the official NPI Registry.