Individual provider Active NPI

Daina Marie Roberson, M.D.

  • Internal Medicine Physician
  • Dyer, IN
National Provider Identifier
1336313089
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01077436A Issued in IN
Practice address
919 Main St Ste 201
Dyer, IN 46311
Phone
(219) 934-2492
Fax
(219) 934-2493
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.126875 IL
Pediatrics Physician 208000000X 036.126875 IL
Pediatrics Physician 208000000X 01077436A IN
Internal Medicine Physician 207R00000X 01077436A IN Primary

Addresses

Primary practice location

919 Main St Ste 201
Dyer, IN 46311

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

3231 Euclid Ave
Suite 200
Berwyn, IL 60402-3471
Phone (708) 783-3400

Other names 1

  • Daina Marie Alexander Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address droberson235878@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161011000465 IN Practitioner - Pediatric Medicine 5597913053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

919 Main St
Suite 102
Dyer, IN 46311-3717
Phone (219) 934-2492

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01077436AINMDInternal Medicine Physician
036.126875ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Internal Medicine CurrentSince Oct 17, 2016 Accepting new patients
Franciscan Physician Network CurrentSince Oct 17, 2016 Accepting new patients
Macneal Physicians Group LLC Internal Medicine Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

919 Main St
Ste 201
Dyer, IN 46311
Phone (219) 922-3002

919 Main St
Ste 102
Dyer, IN 46311
Phone (219) 934-2492

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: droberson235878@direct.franciscanalliance.org

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.

Hospital & facility affiliations 7

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1336313089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MAIN ST STE 201",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46311",
            "telephone_number": "219-934-2492",
            "fax_number": "219-934-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Euclid Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023471",
            "country_code": "US",
            "telephone_number": "708-783-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "DAINA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.126875",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.126875",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01077436A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01077436A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "droberson235878@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 Main St Ste 201",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAINA",
            "last_name": "ALEXANDER",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.