Individual provider Active NPI

Roberta Lucille Sanders, MD PA

  • Hospitalist Physician
  • Texarkana, TX
National Provider Identifier
1619297348
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
N7018 Issued in TX
Practice address
2600 St Michael Dr
SCP Office
Texarkana, TX 75503
Phone
(903) 278-7242
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N7018 TX
Hospitalist Physician 208M00000X N7018 TX Primary

Addresses

Primary practice location

2600 St Michael Dr
SCP Office
Texarkana, TX 75503

Mailing address

PO Box 6108
Texarkana, TX 75505
Phone (903) 278-7242

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Other names 1

  • Dr. Roberta Lucille Vickery Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rvickery910388@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171017001295 TX Practitioner - HospitalistPractitioner - Internal Medicine 0446376552 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Sevier County Medical Center Hospital, De Queen, AR, CCN 041333
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jul 8, 2018 Accepting new patients
Hendrick Provider Network CurrentSince Feb 7, 2022 Accepting new patients
Hospital Medicine Associates of TX PA Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Feb 14, 2022 Accepting new patients
HCC of Fairfield LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Feb 21, 2018 Accepting new patients
Lake Granbury Hospital-Based Professional Services Hospitalist CurrentSince Feb 12, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince May 24, 2023 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 24, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 1, 2019 Accepting new patients
Hendrick Provider Network Internal Medicine CurrentSince Feb 7, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 14, 2022 Accepting new patients

Locations (25 of 34)

200 Corporate Blvd
Lafayette, LA 70508

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Interoperability endpoints

  • Direct secure messaging: fmcrvicke@yourcarecommunity.org
  • Direct secure messaging: rvickery307357@christushealth.direct-ci.net
  • Direct secure messaging: rvickery2259695@direct.trinity-health.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1619297348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6108",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75505",
            "telephone_number": "903-278-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ST MICHAEL DR",
            "address_2": "SCP OFFICE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75503",
            "telephone_number": "903-278-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ROBERTA",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-03-06",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7018",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N7018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvickery910388@direct.sw.org",
            "affiliation": "N",
            "address_1": "2400 N I 35",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751655240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "VICKERY",
            "middle_name": "LUCILLE",
            "prefix": "DR.",
            "credential": "MD PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.