Individual provider Active NPI

Nathan Roberts, M.D.

  • Urology Physician
  • Lansdowne, VA
National Provider Identifier
1942526165
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101259989 Issued in VA
Practice address
19415 Deerfield Avenue, Suite 112
Lansdowne, VA 20176-8470
Phone
(703) 724-1195
Fax
(703) 724-4495
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101259989 VA Primary

Addresses

Primary practice location

19415 Deerfield Avenue, Suite 112
Lansdowne, VA 20176-8470

Mailing address

224-D Cornwall Street, NW, Suite 403
Suite 112
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 1

IdentifierTypeStateIssuer
1942526165MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20160815000870 DC Practitioner - Urology 6305079112 Reassigns benefits to 2 organizations
I20160913002459 VA Practitioner - Urology 6305079112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Jefferson Medical College of Thomas Jefferson University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220

19415 Deerfield Ave
Suite 112
Leesburg, VA 20176-8470
Phone (703) 724-1195

20955 Professional PLZ
Suite 200
Ashburn, VA 20147-3405
Phone (703) 729-7652

224 D Cornwall St NW
Leesburg, VA 20176-2700

224 D Cornwall St NW
Suite 400
Leesburg, VA 20176-2704
Phone (703) 443-6733

24430 Stone Springs Blvd
Suite 525
Dulles, VA 20166-2267
Phone (703) 957-1022

6602 W Broad St
Suite B
Richmond, VA 23230-1702
Phone (804) 285-8206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259989VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC Current Accepting new patients
Gastrointestinal Specialists LLC Urology CurrentSince Feb 1, 2026 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2016 Accepting new patients
Loudoun Medical Group, PC Urology CurrentSince Aug 1, 2016 Accepting new patients
Loudoun Medical Group, PC Urology CurrentSince Aug 1, 2016 Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

24430 Stone Springs Blvd
Ste 545
Dulles, VA 20166
Phone (703) 957-1022

19415 Deerfield Ave
Ste 112
Leesburg, VA 20176
Phone (703) 724-1195

224D Cornwall St NW
Ste 400
Leesburg, VA 20176
Phone (703) 443-6733

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652

1860 Town Center Dr
Ste 150
Reston, VA 20190
Phone (703) 480-0220

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

Interoperability endpoints

  • Direct secure messaging: nathan.roberts@lmg1.eclinicaldirectplus.com

Organizations & group practices 5

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 8

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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1942526165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW, SUITE 403",
            "address_2": "SUITE 112",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVENUE, SUITE 112",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-724-1195",
            "fax_number": "703-724-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101259989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942526165",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.