Individual provider Active NPI

Kiran Sehdev Robertson, MD

  • Internal Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1407870694
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0144473 Issued in FL
Practice address
2052 W County Highway 30a Ste R1-2000
Santa Rosa Beach, FL 32459-0196
Phone
(972) 897-6504
NPI assigned
Jul 27, 2006
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0144473 FL Primary
Internal Medicine Physician 207R00000X K1909 TX

Addresses

Primary practice location

2052 W County Highway 30a Ste R1-2000
Santa Rosa Beach, FL 32459-0196

Mailing address

94 Gulf Shore Dr
Santa Rosa Beach, FL 32459-5732
Phone (972) 897-6504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 16, 2026 through Apr 16, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0144473FLMDInternal Medicine Physician
K1909TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Provider Network Internal Medicine Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Radiology Associates of North Texas PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kiran.robertson.1@26499.direct.athenahealth.com

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, 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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1407870694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GULF SHORE DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595732",
            "telephone_number": "972-897-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 W COUNTY HIGHWAY 30A STE R1-2000",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590196",
            "telephone_number": "972-897-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KIRAN",
        "middle_name": "SEHDEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0144473",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.