Active NPI
Edward Conrad Robles, MD
- Neurology Physician
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2015-00266
- Practice address
- 10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7217 - Phone
- (704) 316-5388
- Fax
- (704) 316-1848
- NPI assigned
- Jul 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301066617 | MI | |
| Neurology Physician | 2084N0400X | 4301066617 | MI | |
| Neurology Physician | 2084N0400X | 2015-00266 | NC | Primary |
Addresses
Primary practice location
10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7217
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548269962 | Medicaid | NC | |
| 104127966 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erobles240222@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Neurology
- Education
- New York Medical College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
10305 Hamptons Park Dr
Suite 101
Huntersville, NC 28078-7221
Phone (704) 384-5520
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301066617 | MI | MD | Neurology Physician |
| 2015-00266 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10305 Hamptons Park Dr
Ste 101
Huntersville, NC 28078
Phone (704) 316-5388
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- erobles240222@direct.novanthealth.org
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 and National Provider Directory roles.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Oncology Specialists
- Gynecologic Oncology Physician
- Salisbury, NC
- NPI 1033561824
-
dba NHMG Primary Care Clinics
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
dba Allegiance Health
- Psychiatry Physician
- Jackson, MI
- NPI 1073547964
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Huntersville Medical Center
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1548269962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-316-5388",
"fax_number": "704-316-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 HAMPTONS PARK DR STE 101",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787217",
"telephone_number": "704-316-5388",
"fax_number": "704-316-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "EDWARD",
"middle_name": "CONRAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301066617",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301066617",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2015-00266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548269962",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104127966",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erobles240222@direct.novanthealth.org",
"affiliation": "N",
"address_1": "10305 Hamptons Park Dr Ste 101",
"city": "Huntersville",
"state": "NC",
"country_code": "US",
"postal_code": "280787217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.