ROY W ROBERTSON MD NPI 1366434342

NPI Information

  • NPI: 1366434342
  • Provider Name: ROY W ROBERTSON, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11108 PARKVIEW CIRCLE DR
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 266-5700

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NPI Details

Roy W Robertson, MD is an interventional cardiology internal medicine in Fort Wayne, IN with 37 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Roy W Robertson, MD NPI is 1366434342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845-730
Phone: (260) 266-5700
Fax: (260) 266-9520

The NPI 1366434342 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 8/16/2005 and was last updated on 6/3/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine01037760AINDIANANo
2207RC0000XInternal MedicineCardiovascular Disease01037760AINDIANANo
3208600000XSurgery01037760AINDIANANo
42086S0129XSurgeryVascular Surgery01037760AINDIANANo
5207RI0011XInternal MedicineInterventional Cardiology01037760AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000641097OTHERINDIANAANTHEM
2P00782372OTHERINDIANAR.R. MEDICARE
3060070573OTHERINDIANARR MEDICARE
40977117MEDICAIDOHIO
5100465520MEDICAIDINDIANA

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: 3/30/2025

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