Active NPI
Thomas H. Roberts, MD
- Internal Medicine Physician
- Missoula, MT
National Provider Identifier
1982648044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4699
- Practice address
- 323 W Alder St
Missoula, MT 59802-4123 - Phone
- (406) 258-4789
- Fax
- (406) 258-4180
- NPI assigned
- Jun 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4699 | MT | Primary |
| Hospitalist Physician | 208M00000X | 4699 | MT |
Addresses
Primary practice location
323 W Alder St
Missoula, MT 59802-4123
Mailing address
323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4699 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1982648044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 W ALDER ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024123",
"telephone_number": "406-258-4789",
"fax_number": "406-258-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W ALDER ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024123",
"telephone_number": "406-258-4789",
"fax_number": "406-258-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "THOMAS",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "4699",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MT",
"license": "4699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.