Active NPI
Clive E Roberson, MD
- Allergy & Immunology Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME9904
- Practice address
- 1411 N Flagler Dr
Suite #6100
West Palm Beach, FL 33401-3404 - Phone
- (561) 655-4450
- Fax
- (561) 655-4469
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME9904 | FL | Primary |
Addresses
Primary practice location
1411 N Flagler Dr
Suite #6100
West Palm Beach, FL 33401-3404
Mailing address
1411 N Flagler Dr Ste 3000
West Palm Beach, FL 33401-3425
Phone (561) 655-4450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044509600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Duke University School of Medicine, 1960
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10115 W Frest Hill Blvd
Suite 403
Wellington, FL 33414-3103
Phone (561) 792-5436
1411 N Flager Dr
Suite 3000
West Palm Beach, FL 33401-3425
Phone (561) 655-4450
210 Jupiter Lakes Blvd
Suite 5203
Jupiter, FL 33458-7192
Phone (561) 747-5057
900 E Ocean Blvd
Suite D334
Stuart, FL 34994-2471
Phone (772) 220-8884
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- croberson20694@jupitermedicalcenter.direct-ci.com
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- West Palm Beach, FL
- NPI 1073695730
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1497748123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 3000",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013425",
"telephone_number": "561-655-4450",
"fax_number": "561-655-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR",
"address_2": "SUITE #6100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013404",
"telephone_number": "561-655-4450",
"fax_number": "561-655-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "CLIVE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME9904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044509600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.