Robert P Roberts Jr., MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301043739 Issued in MI

Practice address

781 Kenmoor SE
Grand Rapids, MI 49546-8624

Phone

(616) 726-1300

Fax

(616) 726-1302

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as group

Quality

85.52

Promoting interoperability

100

Improvement activities

40

Cost

57.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1093823528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 KENMOOR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468624",
            "telephone_number": "616-726-1300",
            "fax_number": "616-726-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 KENMOOR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468624",
            "telephone_number": "616-726-1300",
            "fax_number": "616-726-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301043739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1868767",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyra Roberts, LCMHCA
• Marva Jean Roberts
• Matthew Roberts
• Michelle Roberts, RDH, BSDH
• Michelle Marie Roberts, LMSW
• Andrew Robertson, D.O.
• Daniel John Robertson, M.D.
• Jerrell Robertson
• Jodie Lynn Robertson
• Karen Robertson, LMSW-C

• Obstetrics & Gynecology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.