Active NPI
Amber Roberts
- Physician Assistant
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008670
- Practice address
- 29355 Northwestern Hwy Ste 302B
Southfield, MI 48034-1053 - Phone
- (248) 228-2477
- Fax
- (248) 281-1764
- NPI assigned
- May 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008670 | MI | Primary |
Addresses
Primary practice location
29355 Northwestern Hwy Ste 302B
Southfield, MI 48034-1053
Mailing address
18100 Oakwood Blvd Ste 300
Dearborn, MI 48124-4085
Phone (313) 429-7844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29355 Northwestern Hwy
Suite 302
Southfield, MI 48034-1053
29355 Northwestern Hwy
Suite 302
Southfield, MI 48034-1065
Phone (248) 228-2990
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.5 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| Integrated Dermatology of Southfield PLLC | Current | Accepting new patients |
Locations
18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
29355 Northwestern Hwy
Ste 302B
Southfield, MI 48034
Phone (248) 228-2477
Organizations & group practices 4
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.
-
- Dermatopathology Physician
- Southfield, MI
- NPI 1528599750
-
- Dermatology Physician
- Southfield, MI
- NPI 1326920513
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Occupational Therapist
- Dearborn, MI
- NPI 1851630206
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1497246698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18100 OAKWOOD BLVD STE 300",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244085",
"telephone_number": "313-429-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29355 NORTHWESTERN HWY STE 302B",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341053",
"telephone_number": "248-228-2477",
"fax_number": "248-281-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.