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
- Last updated
- Oct 1, 2026
- 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
Other practice location 1
4566 E Highway 20 Ste 105
Niceville, FL 32578-8839
Phone (850) 389-2333
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
1001 College Blvd W
Ste D
Niceville, FL 32578
Phone (850) 389-8333
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, and the practitioner matching its NPPES authorized official.
-
- 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": "1790812800000",
"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": [
{
"address_1": "4566 E Highway 20 Ste 105",
"address_purpose": "LOCATION",
"city": "Niceville",
"state": "FL",
"postal_code": "325788839",
"country_code": "US",
"telephone_number": "850-389-2333",
"fax_number": "850-279-6031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MICHAEL P ROBERTS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-30",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"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
- Evan R. Meeks, MD
- Sarah Marie Meleen, PA-C
- James Lee Melton, DPT
- Melvin P Livingsten Jr (Dougs Pharmacy)
- Michael J. Mihalcik, DMD, PA
- Mid Bay Dental PLLC (Mid Bay Dental)
- Mid-Bay Women's Clinic, P.a. (Mid-Bay Women's Clinic)
- Midbay Dental PPLC (Mid Bay Dental)
- Polly Midura, RN
- Jennifer Lynn Mihalcik Nohalty, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.