Cory Anthony Roberts, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

L0914 Issued in TX

Practice address

1355 River Bend Drive
Dallas, TX 75247-4915

Phone

(214) 638-2000

Fax

(214) 631-6724

NPI assigned

Jul 25, 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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: coroberts@direct.uspi.com

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.

• Clinical Pathology Laboratories, Inc.

  • Clinical Medical Laboratory
  • Austin, TX
  • NPI 1194769497
  NPD (past)
• Propath Services, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1962481820
  NPD (past)
• Genetics Associates, LLC

  • Clinical Medical Laboratory
  • Nashville, TN
  • NPI 1669207361
  NPD (past)
• Memphis Pathology Laboratory

  • Clinical Medical Laboratory
  • Memphis, TN
  • NPI 1548370745
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1942223706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "214-638-2000",
            "fax_number": "214-631-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "214-638-2000",
            "fax_number": "214-631-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CORY",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L0914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 99",
            "identifier": "8S9353",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220031778",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DALLAS",
            "identifier": "8F2911",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148590601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148590602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Roberts, MD
• Charles Eldon Roberts, LPC-S
• Christina T Roberts, FNP-C
• Claire C Roberts, P.A.-C
• Connie Sue Roberts, D.O.
• Courtney Nemecia Roberts, MD
• Courtney R Roberts, MD
• Cynthia E Roberts, FNP-BC
• David Louis Roberts, DDS
• Gwenita Roberts, FNP-C

• Anatomic Pathology & Clinical Pathology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.