Active NPI
Charles M Roberts, MD PHD
- Pediatric Hematology & Oncology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 154610
- Practice address
- 44 Binney St
M657, Dana Farber Cancer Institute
Boston, MA 02115 - Phone
- (617) 632-5297
- Fax
- (617) 632-6845
- NPI assigned
- Mar 17, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 154610 | MA | Primary |
Addresses
Primary practice location
44 Binney St
M657, Dana Farber Cancer Institute
Boston, MA 02115
Mailing address
44 Binney St
M657, Dana Farber Cancer Institute
Boston, MA 02115
Phone (617) 632-5297
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206814 | Other | HPHC DFCI ONLY | |
| 000000025974 | Other | BMC HEALTHNET | |
| 771511 | Other | TUFTS | |
| 3205932 | Other | MASS HEALTH | |
| 2938399 | Other | AETNA US HEALTHCARE | |
| 60716 | Other | FALLON COMMUNITY HEALTH | |
| 1996161 | Other | CIGNA | |
| J22083 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154610 | MA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Jude Children's Research Hospital, Inc. | Pediatric Hematology-Oncology | Current | Accepting new patients |
Locations
262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343
262 Danny Thomas Pl
#515
Memphis, TN 38105
Phone (901) 495-3006
Interoperability endpoints
- croberts21558@stjude.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1306335088
Pediatric Hematology-Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649239849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "M657, DANA FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-632-5297",
"fax_number": "617-632-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "M657, DANA FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-632-5297",
"fax_number": "617-632-6845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CHARLES",
"middle_name": "M",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MA",
"license": "154610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC DFCI ONLY",
"identifier": "206814",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000025974",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "771511",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "3205932",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2938399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "60716",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1996161",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J22083",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.