Individual provider Active NPI

Robin Aderhold Roberts, M.D.

  • Specialist
  • Benbrook, TX
National Provider Identifier
1679527048
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H3210 Issued in TX
Practice address
6100 Southwest Blvd
Suite 100
Benbrook, TX 76109-3930
Phone
(817) 989-1221
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H3210 TX Primary

Addresses

Primary practice location

6100 Southwest Blvd
Suite 100
Benbrook, TX 76109-3930

Mailing address

6100 Southwest Blvd
Suite 100
Benbrook, TX 76109-3930
Phone (817) 989-1221

Other identifiers 1

IdentifierTypeStateIssuer
089796901MedicaidTX

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
I20100809000731 TX Practitioner - DermatologyPractitioner - Internal Medicine 6507999752 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Benbrook, TX

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Fort Worth PLLCGroup PAC ID 4587917117, 6 clinicians

Practice addresses (Care Compare)

6131 Southwest Blvd
Suite 100
Benbrook, TX 76132-1047
Phone (817) 989-1221

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as individual
Quality
79.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions563
Removal or shaving of skin growth12
Skin biopsy149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Fort Worth PLLC CurrentSince Aug 1, 2018 Accepting new patients
Robin a Roberts, MD Specialist PastSince Nov 21, 1989 Accepting new patients

Locations

6100 Southwest Blvd
Ste 100
Benbrook, TX 76109
Phone (817) 989-1221

6131 Southwest Blvd
Ste 100
Benbrook, TX 76132
Phone (817) 989-1221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1679527048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD",
            "address_2": "SUITE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093930",
            "telephone_number": "817-989-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD",
            "address_2": "SUITE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093930",
            "telephone_number": "817-989-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ROBIN",
        "middle_name": "ADERHOLD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H3210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089796901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.