John R Roberts Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01036855 Issued in IN

Practice address

1640 Crawfordsville Square Dr
Crawfordsville, IN 47933-3800

Phone

(765) 362-5789

Fax

(765) 362-2453

NPI assigned

Jun 5, 2006

Last updated

Mar 19, 2021By the provider in NPPES

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

Electronic endpoints 1

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: jroberts68027@direct.franciscanalliance.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athens Medical Group LLC

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1043444714
  NPD (past)
• Athens Medical Group, Inc

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1831205210
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1962441915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CRAWFORDSVILLE SQUARE DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333800",
            "telephone_number": "765-362-5789",
            "fax_number": "765-362-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroberts68027@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1640 Crawfordsville Square Dr",
            "city": "Crawfordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479333800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard L. Stout, O.D.P.C.
• Rmi Incorporated (Crawfordsville Home Health Center)
• Madison Robbins, RBT
• Sierra Robbins, RBT
• Haley Adair Roberts Beach, LCMHC, MA
• Joseph Kevin Roberts, L.M.F.T.
• Jacy D Robling, D.D.S.
• Stephanie Dianne Rose, PH.D.
• Rebecca Jo Roy, M.S.W., L.C.S.W.
• Steven K Ruff, DDS

• Family Medicine Physician in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.