Physician Compare National (NPI:1366505521)

HEALTHCARE PROVIDER: RICHARD ROYSTON ROBERTS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366505521
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224299250
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120418000261
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROBERTS
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	601 RIVER POINTE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	STE. 130
	Group Practice or individual's line 2 address
City	CONROE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773042944
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9367567788
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450222
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CONROE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450862
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST LUKE'S THE WOODLANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M