Active NPI
Kiran Sehdev Robertson, MD
- Internal Medicine Physician
- Santa Rosa Beach, FL
National Provider Identifier
1407870694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0144473
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0144473 | FL | MD | Internal Medicine Physician |
| K1909 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1497700280
-
dba Dallas Medical Specialists
- Internal Medicine Physician
- Dallas, TX
- NPI 1194765586
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.