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WILLIAM OLIVER ROBERTS MD NPI 1154404952


NPI Information

NPI: 1154404952
Provider Name: WILLIAM OLIVER ROBERTS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: FAIRVIEW CLINICS

PECOS Registration: Yes

Address:
UFP PHALEN VILLAGE CLINIC
1414 MARYLAND AVENUE EAST
SAINT PAUL, MN
ZIP 55106
Phone: (651) 772-3461
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William Oliver Roberts, MD is a family medicine in Saint Paul, MN with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. William Oliver Roberts, MD NPI is 1154404952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1978

The provider's business location address is:

UFP PHALEN VILLAGE CLINIC
1414 MARYLAND AVENUE EAST
SAINT PAUL, MN
ZIP 55106
Phone: (651) 772-3461

The NPI 1154404952 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Hemoglobin A1C level (HCPCS:83036)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports Medicine24845MINNESOTANo
2207Q00000XFamily Medicine24845MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10506013OTHERMINNESOTAPREFERRED ONE
201-12528OTHERMINNESOTAMEDICA CHOICE
31780296OTHERMINNESOTAARAZ
4080012218MEDICARE ID-TYPE UNSPECIFIED
5102775OTHERMINNESOTAUCARE
6HP17043OTHERMINNESOTAHEALTH PARTNERS
7A95514MEDICARE UPIN
8681282100MEDICAIDMINNESOTA
91519736MEDICAIDIOWA
10061L6ROOTHERMINNESOTABLUE CROSS BLUE SHIELD
1101-12528OTHERMINNESOTAMEDICA PRIMARY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.