Individual provider Active NPI

Cheryl Jean Roberts, MD

  • Internal Medicine Physician
  • Hobe Sound, FL
National Provider Identifier
1013188903
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 0058311 Issued in FL
Practice address
100 Estrada SQ
Hobe Sound, FL 33455-2400
Phone
(772) 546-3751
Fax
(772) 546-7941
NPI assigned
Mar 18, 2008
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 0058311 FL Primary

Addresses

Primary practice location

100 Estrada SQ
Hobe Sound, FL 33455-2400

Mailing address

100 Estrada SQ
Hobe Sound, FL 33455-2400
Phone (772) 546-3751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000075 FL Practitioner - Internal Medicine 6800880535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Island Medical Clinic IncGroup PAC ID 5193051464, 2 clinicians

Practice addresses (Care Compare)

100 Estrada SQ
Hobe Sound, FL 33455-2400
Phone (772) 546-3751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0058311FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Island Medical Clinic Inc CurrentSince Jan 21, 2019 Accepting new patients

Locations

100 Estrada Sq
Hobe Sound, FL 33455
Phone (772) 546-3751

Interoperability endpoints

  • Direct secure messaging: croberts20697@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1013188903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ESTRADA SQ",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334552400",
            "telephone_number": "772-546-3751",
            "fax_number": "772-545-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ESTRADA SQ",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334552400",
            "telephone_number": "772-546-3751",
            "fax_number": "772-546-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHERYL",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0058311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

Verify at the official NPI Registry.