Adria Lara Roberti Miller, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

293517-1 Issued in NY

Practice address

1815 S Clinton Ave Ste 310
Rochester, NY 14618

Phone

(585) 473-3535

NPI assigned

Apr 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Adria Lara Roberti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adriaroberti-millerdo@twelvecornerspediatrics.medentdirect.com

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.

• Twelve Corners Pediatrics, LLP

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1568553279
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1356785059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 WEST RD",
            "address_2": "SUITE 110",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831472",
            "telephone_number": "585-737-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE STE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-473-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTI MILLER",
        "first_name": "ADRIA",
        "middle_name": "LARA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "293517-1",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5315075719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIA",
            "last_name": "ROBERTI",
            "middle_name": "LARA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert M Kerper MD, PLLC
• Robert M. Santo, D.D.S.,P.C
• Robert N Kornfield MD PC
• Robert P. Weis DDS PC
• Segundo Sergio Robert-Ibarra, M.D.
• Annie Roberts
• Azellee Nariah Roberts
• Brenna Merry Roberts, MS CCC-SLP
• Charles Roberts, OTR/L
• Debra E Roberts, MD, PHD

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.