Individual provider Active NPI

Michael W Robles, DO

  • Anatomic Pathology Physician
  • Carrollton, TX
National Provider Identifier
1427034495
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
L8923 Issued in TX
Practice address
3418 Midcourt Rd
Suite 118
Carrollton, TX 75006-4944
Phone
(214) 420-8200
NPI assigned
Dec 21, 2005
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 34-008443 OH
Anatomic Pathology Physician 207ZP0101X L8923 TX Primary
Anatomic Pathology Physician 207ZP0101X 056474 GA
Anatomic Pathology Physician 207ZP0101X 2005-00398 NC
Anatomic Pathology Physician 207ZP0101X 20A8161 CA

Addresses

Primary practice location

3418 Midcourt Rd
Suite 118
Carrollton, TX 75006-4944

Mailing address

3418 Midcourt Rd
Suite 118
Carrollton, TX 75006-4944

Other practice location 1

129 Vision Park Blvd Ste 307
Shenandoah, TX 77384-3024
Phone (936) 321-5440

Other practice location 2

690 S Loop 336 W Ste 215
Conroe, TX 77304-3322
Phone (936) 828-3962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040729001021 TX Practitioner - Pathology 7618947334 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Partners of North Houston PLLCGroup PAC ID 0143563304, 10 clinicians

Practice addresses (Care Compare)

129 Vision Park Blvd
Suite 307
Shenandoah, TX 77384-3024
Phone 9363215440135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8161CAMDAnatomic Pathology Physician
056474GAMDAnatomic Pathology Physician
2005-00398NCMDAnatomic Pathology Physician
34-008443OHMDAnatomic Pathology Physician
L8923TXMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Gastroenterology and Liver Specialists, PLLC CurrentSince Feb 8, 2024 Accepting new patients
Permian Gastroenterology, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Gastroenterology Partners of North Houston PLLC CurrentSince Feb 22, 2024 Accepting new patients
Conroe-Woodlands Gastroenterology, P.a. CurrentSince Mar 27, 2024 Accepting new patients
Pennsylvania Specialty Pathology LLC Past Accepting new patients

Locations

690 S Loop 336 W
Ste 215
Conroe, TX 77304
Phone (936) 228-9980

4214 Andrews Hwy
Ste 203
Midland, TX 79703
Phone (432) 697-1000

129 Vision Park Blvd
Ste 307
Shenandoah, TX 77384
Phone (936) 321-5440

9201 Pinecroft Dr
Ste 200
Shenandoah, TX 77380
Phone (281) 394-4704

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEABA

Organizations & group practices 5

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1427034495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 MIDCOURT RD",
            "address_2": "SUITE 118",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 MIDCOURT RD",
            "address_2": "SUITE 118",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064944",
            "telephone_number": "214-420-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Vision Park Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843024",
            "country_code": "US",
            "telephone_number": "936-321-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 S Loop 336 W Ste 215",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043322",
            "country_code": "US",
            "telephone_number": "936-828-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OH",
            "license": "34-008443",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "L8923",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "GA",
            "license": "056474",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "2005-00398",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "20A8161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.