JEFFREY LANDON ROBERSON MD
NPI 1811457161
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 22, 2019PECOS Enrolled
1102 MALONEY BUILDING, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, PHILADELPHIA, PA 19104(800) 789-7366 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Landon Roberson Md NPPES

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

JEFFREY LANDON ROBERSON MD (NPI 1811457161) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811457161
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY LANDON ROBERSONCredential: MD
Location Address1102 MALONEY BUILDING, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIAPhiladelphia, PA 19104-4283
Mailing Address1102 Maloney Building, Hospital Of The University Of PennsylvaniaPhiladelphia, PW 19104-4283 · (800) 789-7366
Sole ProprietorNo
Enumeration DateMarch 22, 2019
NPI 1811457161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1102 MALONEY BUILDING, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffrey Landon Roberson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jeffrey Roberson's NPI number?

The NPI number for Jeffrey Roberson is 1811457161. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Jeffrey Roberson located?

Jeffrey Roberson practices at 1102 Maloney Building Hospital Of The University Of Pennsylvania, Philadelphia, PA 19104. The listed phone number is (800) 789-7366.

What is Jeffrey Roberson's specialty?

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

Is Jeffrey Roberson enrolled in Medicare?

Yes. Jeffrey Roberson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Roberson was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.