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MR. KEVIN JOSUE ROBERTSON M.D.
NPI 1508421629
Student in an Organized Health Care Education/Training Program in St. Louis, MO

Active since May 03, 2019PECOS EnrolledAccepts Medicare Assignment
6420 CLAYTON ROAD, ST. LOUIS, MO 63117(314) 768-8778 Get Directions Write a Review

NPPES record last updated: January 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2024, Jan 11, 2020, May 3, 2019 (3 updates tracked since 2019).

About Mr. Kevin Josue Robertson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN JOSUE ROBERTSON M.D. (NPI 1508421629) is an individual student in an organized health care education/training program in St. Louis, Missouri and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508421629
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. KEVIN JOSUE ROBERTSONCredential: M.D.
Location Address6420 CLAYTON ROADSt. Louis, MO 63117
Mailing AddressColonia San Jose Del Pedregal Bloque 3, Lote 3, Calle SSan Pedro Sula, CORTES 21101
Phone(314) 768-8778
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 3, 2019
Last NPPES UpdateJanuary 11, 20203 updates tracked since enumeration
✔ NPI 1508421629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6420 CLAYTON ROAD, St. Louis, MO 63117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Josue Robertson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173964327
PECOS Enrollment IDI20240518000271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group
4.0 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Physician Services Corporation Of Southern Illinois Inc.
77 mi
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group
NPI 1831101807 (618) 899-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BASANTA SUBEDI MD
Hospitalist
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8000
AKRITI KHADGA MBBS, MD
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPT OF INTERNAL MEDICINE 2ND FLOOR
ST. LOUIS, MO 63117
St. Louis County (314) 768-8778
KIRANKUMAR AMRUTLAL PRAJAPATI
Internal Medicine
6420 CLAYTON ROAD, ST.MARY'S HEALTH CENTER,DEPARTMENT OF INTERNAL MEDICINE
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8778
ASLANBI TEZEKBAY M.D.
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPARTMENT OF INTERNAL MEDICINE, SSM HEALTH ST. MARY'S
ST LOUIS, MO 63117
St. Louis County (314) 768-8778
JEFFREY OWEN BRAY DO
Anesthesiology
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
MR. ASHUTOSH UPADHYAYA M.B.B.S
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPT. OF INTERNAL MEDICINE 2ND FLOOR
ST. LOUIS, MO 63117
St. Louis County (314) 768-8778
MS. MARIE FLORETTA CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
KUMIKO SHIMODA MD
Anesthesiology
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Robertson's NPI number?

The NPI number for Kevin Robertson is 1508421629. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Kevin Robertson located?

Kevin Robertson practices at 6420 Clayton Road, St. Louis, MO 63117. The listed phone number is (314) 768-8778.

What is Kevin Robertson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Robertson enrolled in Medicare?

Yes. Kevin Robertson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Robertson reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Robertson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Kevin Robertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Robertson affiliated with any hospitals?

According to CMS data, Kevin Robertson is affiliated with Ssm Health St Mary's Hospital Jefferson City and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Robertson was last updated on January 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.