Individual provider Active NPI

Chelsea Alexandra Roberts, M.D.

  • General Practice Physician
  • Mesa, AZ
National Provider Identifier
1336583186
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
51986 Issued in AZ
Practice address
4111 E Valley Auto Dr
Mesa, AZ 85206-4605
Phone
(480) 982-0922
Fax
(480) 539-2888
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 51986 AZ Primary

Addresses

Primary practice location

4111 E Valley Auto Dr
Mesa, AZ 85206-4605

Mailing address

3117 E Hobart St
Gilbert, AZ 85296-9175
Phone (480) 982-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160902001483 AZ Practitioner - General Practice 9537455340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Arizona College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3117 E Hobart St
Gilbert, AZ 85296-9175

4111 E Valley Auto Dr
Suite 108
Mesa, AZ 85206-4607
Phone (480) 982-0922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51986AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Primary Care Services CurrentSince Oct 8, 2017 Accepting new patients

Locations

4111 E Valley Auto Dr
Ste 209
Mesa, AZ 85206
Phone (480) 630-9926

4111 E Valley Auto Dr
Mesa, AZ 85206
Phone (480) 269-0040

4111 E Valley Auto Dr
Ste 108
Mesa, AZ 85206
Phone (480) 982-0922

Interoperability endpoints

  • Direct secure messaging: chelsea.roberts@131215142486020.direct.elationemr.com

Organizations & group practices 1

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1336583186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 E HOBART ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969175",
            "telephone_number": "480-982-0922",
            "fax_number": "480-539-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064605",
            "telephone_number": "480-982-0922",
            "fax_number": "480-539-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHELSEA",
        "middle_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "51986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.