Individual provider Active NPI

Angelica Victoria Robles, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1609132059
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
2018-01232 Issued in NC
Practice address
10643 Kettering Dr Ste 101
Charlotte, NC 28226-1142
Phone
(980) 890-8668
Fax
(833) 471-2100
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2018-01232 NC
Developmental - Behavioral Pediatrics Physician 2080P0006X 2018-01232 NC Primary

Addresses

Primary practice location

10643 Kettering Dr Ste 101
Charlotte, NC 28226-1142

Mailing address

10643 Kettering Dr Ste 101
Charlotte, NC 28226-1142
Phone (980) 890-8668

Other practice location 1

47 W Division St Ste 360
Chicago, IL 60610-2419
Phone (708) 722-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231106000631 OH Practitioner - Pediatric Medicine 4587909452 Reassigns benefits to 1 organization
I20240216004451 NC Practitioner - Pediatric Medicine 4587909452 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Center for Neuropsychological Services CurrentSince Dec 1, 2023 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Dec 1, 2023 Accepting new patients

Locations

501 S Sharon Amity Rd
Ste 500
Charlotte, NC 28211
Phone (704) 362-1555

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: angelica.robles.1@27502.direct.athenahealth.com
  • Direct secure messaging: arobles534527@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1609132059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10643 KETTERING DR STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261142",
            "telephone_number": "980-890-8668",
            "fax_number": "833-471-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10643 KETTERING DR STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261142",
            "telephone_number": "980-890-8668",
            "fax_number": "833-471-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 W Division St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606102419",
            "country_code": "US",
            "telephone_number": "708-722-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "ANGELICA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2018-01232",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "2018-01232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.