Individual provider Active NPI

Caroline Roberts, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Francisco, CA
National Provider Identifier
1659447902
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD60077526 Issued in WA
Practice address
655 Montgomery St Ste 810
San Francisco, CA 94111-2677
Phone
(844) 847-8216
Fax
(415) 520-9150
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD60077526 WA Primary

Addresses

Primary practice location

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Mailing address

13563 NW Payne Dr
Portland, OR 97229-4077
Phone (443) 904-5290

Other practice location 1

13563 NW Payne Dr
Portland, OR 97229-4077
Phone (443) 904-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WA, CA, NC, FL, IL, OR, CT, MA, AK, VT, CO, WV, WI, OH, AR, ID, IN, DE, KY, MN, NY, OK, MI, TX, LA, VA, SC, NM, NJ, UT, WY, NV, HI, NH, NE, RI, ME, PA, ND, SD, AZ, IA, MO, AL, TN, GA, MT, MS49 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 49

Enrollment IDStateProvider typePAC IDDetails
I20081104000191 MD Practitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20090612000510 WA Practitioner - EndocrinologyPractitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20200504002841 CA Practitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20220315000719 NC Practitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20220315001773 FL Practitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20220316001823 IL Practitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20220316002537 OR Practitioner - Internal MedicinePractitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20220317000974 CT Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220323001540 MA Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220324001893 AK Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220325001297 VT Practitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20220329001260 CO Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220329002050 WV Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220329002096 WI Practitioner - Endocrinology 7214096460 Reassigns benefits to 1 organization
I20220329002198 OH Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220331000701 AR Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220404000770 ID Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220405001673 IN Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220406002467 DE Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220407001390 KY Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220408000890 MN Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220411002443 NY Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220418001867 OK Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220419001385 MI Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220420002656 TX Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220420002930 LA Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220421000447 VA Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220421001441 SC Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220421002228 NM Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220421002305 NJ Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220421002513 UT Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220425001155 WY Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220425002486 NV Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220426000292 HI Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220426000581 NH Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220426002348 NE Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220426002419 RI Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220426003006 ME Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220502000038 PA Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220502000482 ND Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220524001539 SD Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220525002802 AZ Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220809001359 IA Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220809001800 MO Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220812000938 AL Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220812001399 TN Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220812001612 GA Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220818002020 MT Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization
I20220822000719 MS Practitioner - Internal Medicine 7214096460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2015-00718NCMDFamily Medicine Physician
11729SDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Ready Responders Pennsylvania LLC PastSince Aug 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Healthtap Medical Group, P.C. PastSince Aug 1, 2022 Accepting new patients
Carroll Endocrinology Associates, Inc. Endocrinology, Diabetes & Metabolism Past Accepting new patients

Organizations & group practices 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1659447902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13563 NW PAYNE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294077",
            "telephone_number": "443-904-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216",
            "fax_number": "415-520-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13563 NW Payne Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972294077",
            "country_code": "US",
            "telephone_number": "443-904-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD60077526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.