NPIMap

Individual provider Active NPI

Matthew Thomas Roberts, DO

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1083980403
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3413 Issued in TX
Practice address
16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003
Phone
(281) 565-1112
Fax
(281) 565-1102
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 278793 NY
Family Medicine Physician 207Q00000X R3413 TX Primary

Addresses

Primary practice location

16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003

Mailing address

PO Box 17685
Sugar Land, TX 77496-7685
Phone (281) 491-6767

Other practice location 1

1050 Clove Road
AdvantageCare Physicians
Staten Island, NY 10301
Phone (718) 816-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140731002958 CA Practitioner - Family Practice 2860618584 Reassigns benefits to 1 organization
I20170815001480 TX Practitioner - Family PracticePractitioner - Hospitalist 2860618584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Inpatient Physicians PLLCGroup PAC ID 4183907652, 32 clinicians

Practice addresses (Care Compare)

4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (281) 565-1112

Hospital & facility affiliations

  • Valor Hospice Hospice, Fort Worth, TX, CCN 741787
  • Vantage Hospice Hospice, Houston, TX, CCN 671680
  • Harbor Hospice of Baytown LP Hospice, Baytown, TX, CCN 671645
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Clearsky Rehabilitation Hospital of Baytown LLC Inpatient rehabilitation facility, Baytown, TX, CCN 743027
  • Mont Belvieu Rehabilitation & Healthcare Center Nursing home, Mont Belvieu, TX, CCN 676484
  • Focused Care at Allenbrook Nursing home, Baytown, TX, CCN 675079
  • Focused Care at Cedar Bayou Nursing home, Baytown, TX, CCN 676204
  • Focused Care at Burnet Bay Nursing home, Baytown, TX, CCN 675849
  • Rollingbrook Rehabilitation and Healthcare Center Nursing home, Baytown, TX, CCN 676442

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
1125 Sir Francis Drake Boulevard Operating Company, LLC CurrentSince Jun 1, 2017 Accepting new patients
Amplehealth Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Vanguard Inpatient Physicians, PLLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Dec 26, 2018 Accepting new patients
Fpacp Cedar Bayou LLC Past Accepting new patients
Liberty County Hospital District No 1 Past Accepting new patients
Chambers County Public Hospital District No. 1 Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
San Jacinto Methodist Hospital Past Accepting new patients
Fpacp Allenbrook LLC Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

6620 Coyle Ave
Ste 302
Carmichael, CA 95608
Phone (916) 966-8500

3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

4560 FM 1960 Rd W
Ste 101
Houston, TX 77069
Phone (281) 444-0000

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

16605 Southwest Fwy
Ste 175
Sugar Land, TX 77479
Phone (281) 565-1112

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: mroberts122916@directhoustonmethodist.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Focused Care at AllenbrookBaytown, TX, CCN 675079 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Focused Care at Cedar BayouBaytown, TX, CCN 676204 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 20, 2019
May 20, 2019
Mont Belvieu Rehabilitation & Healthcare CenterMont Belvieu, TX, CCN 676484 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2024
May 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

Hospital & facility affiliations 11

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1083980403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17685",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774967685",
            "telephone_number": "281-491-6767",
            "fax_number": "281-565-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY STE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774790003",
            "telephone_number": "281-565-1112",
            "fax_number": "281-565-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Clove Road",
            "address_2": "AdvantageCare Physicians",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10301",
            "country_code": "US",
            "telephone_number": "718-816-6440",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "278793",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.