Active NPI
Michael Don Roberts, M.D.
- Surgery Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME141842
- Practice address
- 1314 E Venice Ave Ste B
Venice, FL 34285-7160 - Phone
- (800) 991-6117
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME141842 | FL | Primary |
| Surgery Physician | 208600000X | 17368 | WV |
Addresses
Primary practice location
1314 E Venice Ave Ste B
Venice, FL 34285-7160
Mailing address
3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117
Other practice location 1
800 Grand Central Mall
Suite 2
Vienna, WV 26105-4100
Phone (304) 865-4350
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311599387005 | Other | WV | MOUNTAIN STATE BCBS |
| WV17368 | Other | WV | HEALTH PLAN |
| 298185 | Other | MAMSI | |
| 0048334000 | Medicaid | WV | |
| 2055565 | Medicaid | OH | |
| 5880656 | Other | WV | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- West Virginia University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3657 Madaca LN
Tampa, FL 33618-2048
Phone (800) 991-6117
418 Grand Park Dr
Suite 321
Parkersburg, WV 26105-4000
Phone (304) 865-5190
608 Washington Blvd
Belpre, OH 45714-2465
Phone (681) 342-3455
Hospital & facility affiliations
- Camden Clark Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 108 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 51 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME141842 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wazni, PLLC | Surgery | Current | Accepting new patients |
| Camden-Clark Physician Corporation | Surgery | Current | Accepting new patients |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918
295 NW Peacock Blvd
Port St Lucie, FL 34986
3657 Madaca Ln
Tampa, FL 33618
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
3810 Northdale Blvd
Ste 260
Tampa, FL 33624
1314 E Venice Ave
Ste B
Venice, FL 34285
608 Washington Blvd
Belpre, OH 45714
Phone (304) 422-3904
418 Grand Park Dr
Ste 321
Parkersburg, WV 26105
Phone (304) 865-5185
801 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 424-2165
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
Interoperability endpoints
- mroberts108848@direct.wvuhsdirect.com
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Tampa, FL
- NPI 1114353026
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
-
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1356714638
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1144228024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 NORTHDALE BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241893",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E VENICE AVE STE B",
"city": "VENICE",
"state": "FL",
"postal_code": "342857160",
"telephone_number": "800-991-6117"
}
],
"practiceLocations": [
{
"address_1": "800 Grand Central Mall",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Vienna",
"state": "WV",
"postal_code": "261054100",
"country_code": "US",
"telephone_number": "304-865-4350",
"fax_number": "304-420-5995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "MICHAEL",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME141842",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "17368",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "311599387005",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "WV17368",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "298185",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0048334000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2055565",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5880656",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.