KENNETH B ROBERTS (MD) – Radiation Oncology Physician, NPI 1275522047

KENNETH B ROBERTS (MD) is a healthcare provider. based in New haven, Connecticut. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 032210 (CT). The NPI Number for KENNETH B ROBERTS (MD) is 1275522047

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH B ROBERTS (MD)
NPI
1275522047
Phone
(203) 688-1861
Address
15 YORK ST
Enumeration Date
14 October 2005
Last Update Date
31 March 2011

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2038675617
Graduation Year
1984 (42 years ago)
PAC ID
0840482501
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20101013000418
Address ID
CT065183603HA2080XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

100 RADIATION ONCOLOGY in CT

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Provider Addresses for KENNETH B ROBERTS (MD)

  • Lippard Laboratory, 15, York Street, Downtown, New Haven, New Haven County, Connecticut, 06511, United States

    HUNTER BUILDING, 1ST FLOOR

    NEW HAVEN, CT 065103221

    Phone: (203) 688-1861

    Fax: (203) 785-4622

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $448.

Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: IBA Proton Therapy, Inc. ($424).

Total Amount

$448

General + Research + Ownership

Payments

2

Total payment records

General Amount

$448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101013000418IRadiation OncologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields14589$0
77300Calculation of radiation therapy dose12132$0
77334Design and construction of complex radiation treatment device9825$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy4028$0
77427Radiation treatment management, 5 treatment sessions3315$0
View full utilization report →

Insurance plans in this area (ZIP 06510)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
-CT
-NC
Internal MedicineCT
-CT
-CT
-CT
Physician AssistantCT
-CT

Reviews

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Frequently asked questions

Where can patients find KENNETH B ROBERTS (MD)'s NPI?
You can confirm KENNETH B ROBERTS (MD) with NPI 1275522047; it appears in the national provider directory.
Is KENNETH B ROBERTS (MD) active in the national directory?
KENNETH B ROBERTS (MD)'s public NPI profile is in an active state.
What field does KENNETH B ROBERTS (MD) work in?
You can think of KENNETH B ROBERTS (MD) as practicing within Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is KENNETH B ROBERTS (MD)'s primary listing?
We display New Haven, Connecticut because that is what the record indicates for KENNETH B ROBERTS (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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