Active NPI
Sheldon D Roberts, MD
- Urology Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 33435
- Practice address
- 13640 N Plaza del Rio Blvd
Ste 310
Peoria, AZ 85381-4846 - Phone
- (623) 876-3910
- Fax
- (623) 876-6953
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 33435 | AZ | Primary |
Addresses
Primary practice location
13640 N Plaza del Rio Blvd
Ste 310
Peoria, AZ 85381-4846
Mailing address
13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 921438 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041122000881 | AZ | Practitioner - Urology | 1254396948 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Ohio State University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10503 W Thunderbird Blvd
Suite 317
Sun City, AZ 85351-3049
Phone (623) 546-1400
10510 N 92ND St
Scottsdale, AZ 85258-4566
14674 W Mountain View Blvd
Surprise, AZ 85374-2707
14674 W Mountain View Blvd
Suite 210
Surprise, AZ 85374-2708
Phone (623) 546-1400
19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
Hospital & facility affiliations
- Banner Boswell Medical Center
- Banner del E. Webb Medical Center
- Wickenburg Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology, PLC | Urology | Current | Accepting new patients |
| Arizona Center for Hematology and Oncology, PLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology PLC | Urology | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Urology | Current | Accepting new patients |
| Banner Arizona Medical Clinic, LTD | Past | Accepting new patients | |
| Honorhealth Ambulatory | Past | Accepting new patients |
Locations
5750 W Thunderbird Rd
Ste C300
Glendale, AZ 85306
Phone (602) 368-3045
14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873
9151 W Thunderbird Rd
Ste 104
Peoria, AZ 85381
Phone (623) 242-6697
9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
10503 W Thunderbird Blvd
Ste 317
Sun City, AZ 85351
Phone (623) 546-1400
14674 W Mountain View Blvd
Ste 105
Surprise, AZ 85374
Phone (623) 238-7410
14674 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (623) 546-1400
Interoperability endpoints
- sroberts275154@direct.valleywisehealth.org
Organizations & group practices 11
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
AZ, Urology
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
AZ
-
- Surgery Physician
- Peoria, AZ
- NPI 1083007165
-
- Nuclear Radiology Physician
- Glendale, AZ
- NPI 1417216607
Urology
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1083947196
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Neurology Physician
- Phoenix, AZ
- NPI 1285258137
-
- Radiology Clinic/Center
- Sun City West, AZ
- NPI 1386674240
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Hospital
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1497795504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13640 N PLAZA DEL RIO BLVD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814846",
"telephone_number": "623-876-3800",
"fax_number": "623-876-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13640 N PLAZA DEL RIO BLVD",
"address_2": "STE 310",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814846",
"telephone_number": "623-876-3910",
"fax_number": "623-876-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SHELDON",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "33435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "921438",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.