JONATHAN C. ROBERTS M.D. – NPI #1871757070
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JONATHAN ROBERTS is a physician located in PEORIA, IL. NPPES has assigned the NPI number 1871757070 to JONATHAN ROBERTS on July 16, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 5 years ago on Jul 30, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN ROBERTS below.

NPI Profile for
JONATHAN C. ROBERTS

NPI Number
1871757070
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHAN C. ROBERTS
Credentials
M.D.
Primary location
427 W NORTHMOOR RD
PEORIA, IL 61614-3542
Phone: (309) 692-5337 Fax: (309) 693-3913
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JONATHAN ROBERTS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI1871757070
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
WI 55876
2080P0204X
- Pediatrics / Pediatric Emergency Medicine
WI 55876

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2008
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JONATHAN ROBERTS is affiliated with the following medical group(s):
  • HOSPITAL
    • METHODIST MEDICAL CENTER OF ILLINOIS
      221 N E GLEN OAK AVE
      PEORIA, IL 61636
    • SAINT FRANCIS MEDICAL CENTER
      530 NE GLEN OAK AVE
      PEORIA, IL 61637

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.