Active NPI
Surry Parker Roberts, M.D.
- Rheumatology Physician
- Raleigh, NC
National Provider Identifier
1265757157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- NC-00-15169
- Practice address
- 120 Woodburn Rd
Raleigh, NC 27605-1617 - Phone
- (919) 828-2245
- Fax
- (919) 836-1965
- NPI assigned
- Apr 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | NC-00-15169 | NC | Primary |
Addresses
Primary practice location
120 Woodburn Rd
Raleigh, NC 27605-1617
Mailing address
120 Woodburn Rd
Raleigh, NC 27605-1617
Phone (919) 828-2245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC-00-15169 | NC | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270166400000",
"number": "1265757157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WOODBURN RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051617",
"telephone_number": "919-828-2245",
"fax_number": "919-836-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WOODBURN RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051617",
"telephone_number": "919-828-2245",
"fax_number": "919-836-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SURRY",
"middle_name": "PARKER",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-02",
"last_updated": "2010-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "NC-00-15169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.