Individual provider Active NPI

Karen T Robertson, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1184614885
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13777 Issued in AZ
Practice address
4530 E Shea Blvd Ste 150
Phoenix, AZ 85028-6004
Phone
(480) 835-0709
Fax
(602) 953-0398
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13777 AZ Primary

Addresses

Primary practice location

4530 E Shea Blvd Ste 150
Phoenix, AZ 85028-6004

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

Other practice location 1

4530 E Shea Blvd
Suite 150
Phoenix, AZ 85028-6065
Phone (480) 835-0709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Dec 1, 2016 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Dec 1, 2016 Accepting new patients
Phoenix Children'S Hospital CurrentSince Jan 1, 1999 Accepting new patients

Locations

1520 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (480) 725-7241

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

4530 E Shea Blvd
Ste 150
Phoenix, AZ 85028

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1184614885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286004",
            "telephone_number": "480-835-0709",
            "fax_number": "602-953-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 E Shea Blvd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850286065",
            "country_code": "US",
            "telephone_number": "480-835-0709",
            "fax_number": "602-953-0398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KAREN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "13777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.