Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey B Roberts, PA

Individual provider Surgical Physician Assistant · NPI 1629020201

Jeffrey B Roberts, PA is a Physician Assistant in Peoria, Illinois. Graduated from Chicago College of Medicine and Surgery in 2001, 25 years ago. Practices with Midwest Orthopaedic Center S C, a 46-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Trained at
Chicago College of Medicine and Surgery
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6000 N Allen Rd
Peoria, IL 61614-3294
Phone: (309) 691-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085001791 (IL)

Record details

NPI number1629020201
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address6000 N Allen Road, Peoria, IL 61614-3294

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 2001 (25 years in practice)
Group practice Midwest Orthopaedic Center S C — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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