Active NPI
Robin Aderhold Roberts, M.D.
- Specialist
- Benbrook, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H3210
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089796901 | Medicaid | TX |
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
Enrollment records 1
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
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 100
- Quality
- 79.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of skin lesions | 563 |
| Removal or shaving of skin growth | 12 |
| Skin biopsy | 149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of Fort Worth PLLC | Current | Accepting new patients | |
| Robin a Roberts, MD | Specialist | Past | 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.
-
- Pediatric Dermatology Physician
- Fort Worth, TX
- NPI 1932326253
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.
-
- Dermatology Physician
- Benbrook, TX
- NPI 1417434119
-
- Specialist
- Benbrook, TX
- NPI 1578889887
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.