Active NPI
Michael P Roberts MD PA
- Internal Medicine Physician
- Niceville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MICHAEL P ROBERTS MD PA
- Practice address
- 1001 College Blvd W Ste D
Niceville, FL 32578-1049 - Phone
- (850) 389-8333
- Fax
- (850) 279-6031
- NPI assigned
- Jul 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Patrick Roberts, MD
- Title
- Owner
- Phone
- (850) 389-8333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1001 College Blvd W Ste D
Niceville, FL 32578-1049
Mailing address
1001 College Blvd W Ste D
Niceville, FL 32578-1049
Phone (850) 389-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1091567 | Michael P Roberts MD PA | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
1001 College Blvd W
Ste D
Niceville, FL 32578
Phone (850) 389-8333
1001 College Blvd W
Niceville, FL 32578
Phone (850) 678-6735
1001 College Blvd W
Ste D
Niceville, FL 32578
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCEJCA
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Niceville, FL
- NPI 1972691368
-
- Family Nurse Practitioner
- Niceville, FL
- NPI 1922629591
-
- Gerontology Nurse Practitioner
- Fort Walton Beach, FL
- NPI 1811614159
-
- Internal Medicine Physician
- Eglin Afb, FL
- NPI 1144280629
-
- Internal Medicine Physician
- Eglin Afb, FL
- NPI 1316919764
-
- Nurse Practitioner
- Panama City, FL
- NPI 1134698491
-
- Primary Care Nurse Practitioner
- Crestview, FL
- NPI 1194347997
-
- Family Nurse Practitioner
- Niceville, FL
- NPI 1396829990
-
- Medical Physician Assistant
- Tucson, AZ
- NPI 1821669383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1093971061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COLLEGE BLVD W STE D",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781049",
"telephone_number": "850-389-8333",
"fax_number": "850-279-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COLLEGE BLVD W STE D",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781049",
"telephone_number": "850-389-8333",
"fax_number": "850-279-6031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL P ROBERTS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-30",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-389-8333",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.