Individual provider Active NPI

Michael Don Roberts, M.D.

  • Surgery Physician
  • Venice, FL
National Provider Identifier
1144228024
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME141842 Issued in FL
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

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
311599387005OtherWVMOUNTAIN STATE BCBS
WV17368OtherWVHEALTH PLAN
298185OtherMAMSI
0048334000MedicaidWV
2055565MedicaidOH
5880656OtherWVAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080411000477 WV Practitioner - General Surgery 6406882885 Reassigns benefits to 1 organization
I20080709000124 OH Practitioner - General Surgery 6406882885 Reassigns benefits to 1 organization
I20260226000791 FL Practitioner - General Surgery 6406882885 Reassigns benefits to 1 organization

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
Wazni PLLCGroup PAC ID 2860629466, 30 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

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 Hospital, Parkersburg, WV, CCN 510058

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux51
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141842FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wazni, PLLC Surgery CurrentSince Feb 15, 2026 Accepting new patients
Camden-Clark Physician Corporation Surgery CurrentSince Jan 26, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.