ROGER W ROBERTS (D.O.) – Cardiovascular Disease Physician, NPI 1093778003

ROGER W ROBERTS (D.O.) is a healthcare provider. based in Emporia, Kansas. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 0317701 (KS). The NPI Number for ROGER W ROBERTS (D.O.) is 1093778003

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
ROGER W ROBERTS (D.O.)
NPI
1093778003
Phone
(620) 343-6800
Address
1201 W 12TH AVE
Enumeration Date
10 April 2006
Last Update Date
16 January 2015

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3166305000
Graduation Year
1975 (51 years ago)
PAC ID
7911975867
Group Practice PAC ID
6204735947
Professional Enrollment ID
I20050314000374
Address ID
KS672262022WI9350XNXXX501
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

67 INTERVENTIONAL CARDIOLOGY in KS

Loading map...

Provider Addresses for ROGER W ROBERTS (D.O.)

  • Newman Regional Health Center, 1201, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States

    EMPORIA, KS 668012504

    Phone: (620) 343-6800

    Type: Mailing

  • 301, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States

    EMPORIA, KS 668012590

    Phone: (620) 343-2376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Medtronic, Inc. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$87
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: 2005-03-14

PECOS data refreshed: 2026-05-27

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
I20050314000374IInterventional CardiologyKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66801)

Loading plans...

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: 6204735947View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineKS
Internal Medicine, Cardiovascular Disease (Cardiology)KS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for ROGER W ROBERTS (D.O.)?
ROGER W ROBERTS (D.O.) — NPI 1093778003 — is the standard way to identify this listing.
Does CMS list ROGER W ROBERTS (D.O.) as active?
Yes — ROGER W ROBERTS (D.O.) is active in the NPI listing used on this page.
What is ROGER W ROBERTS (D.O.)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for ROGER W ROBERTS (D.O.) here. Clinical services aligned with this taxonomy classification.
What area does ROGER W ROBERTS (D.O.) serve?
ROGER W ROBERTS (D.O.)'s listing highlights Emporia, Kansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DOMINIC VINCENT HURLEY (MD)

Interventional Cardiology Physician
1301 W 12th Ave Ste 207
NPI: 1609872456

MICHAEL F LLOYD (D.O.)

Cardiovascular Disease Physician
9350 E 35th St N
NPI: 1164485124

DR. PAYMAN SATTAR (MD)

Cardiovascular Disease Physician
3800 W 203rd St Ste 202
NPI: 1780609057

CYRUS M MUNGUTI (M.D.)

Cardiovascular Disease Physician
1201 W 12th Ave
NPI: 1235511247

NIKHIL MEHTA (MD)

Cardiovascular Disease Physician
1200 S CEDAR CREST BLVD
NPI: 1780067934

COLLEEN FEARON-STENNETT (M.D.)

Cardiovascular Disease Physician
1301 W 12TH AVE STE 207
NPI: 1447783469