Individual provider Active NPI

Riggs Bailey Roberts, M.D.

  • Psychiatry Physician
  • Wailuku, HI
National Provider Identifier
1386690006
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4753 Issued in HI
Practice address
1883 Mill St Ste B
Wailuku, HI 96793-1236
Phone
(808) 242-9233
Fax
(808) 249-2546
NPI assigned
May 25, 2006
Reactivated
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G39037 CA
Psychiatry Physician 2084P0800X 4753 HI Primary

Addresses

Primary practice location

1883 Mill St Ste B
Wailuku, HI 96793-1236

Mailing address

1883 Mill St Ste B
Wailuku, HI 96793-1236
Phone (808) 242-9233

Other identifiers 2

IdentifierTypeStateIssuer
4753OtherHIHAWAII LICENCE #
013738-01MedicaidHI

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

LicenseStateTypeSpecialty
G39037CAMDPsychiatry Physician
4753HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Bailey Roberts MD, Inc. Psychiatry CurrentSince Feb 11, 2024 Accepting new patients
Riggs Bailey Roberts MD, Inc. Psychiatry CurrentSince Feb 11, 2024 Accepting new patients

Locations

1883 Mill St
Ste B
Wailuku, HI 96793
Phone (808) 242-9233

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1386690006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 MILL ST STE B",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931236",
            "telephone_number": "808-242-9233",
            "fax_number": "808-249-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 MILL ST STE B",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931236",
            "telephone_number": "808-242-9233",
            "fax_number": "808-249-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RIGGS",
        "middle_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "deactivation_date": "2024-01-22",
        "reactivation_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G39037",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "4753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII LICENCE #",
            "identifier": "4753",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013738-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.