Individual provider Active NPI

Anne-Marie Roberts, M.D.

  • Infectious Disease Physician
  • North Las Vegas, NV
National Provider Identifier
1699771360
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
12880 Issued in NV
Practice address
2500 Perliter Ave
North Las Vegas, NV 89030-7309
Phone
(702) 396-4165
Fax
(702) 656-0026
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME88960 FL
Infectious Disease Physician 207RI0200X 12880 NV Primary

Addresses

Primary practice location

2500 Perliter Ave
North Las Vegas, NV 89030-7309

Mailing address

6480 W Russell Rd
Las Vegas, NV 89118-1919
Phone (702) 845-2841

Other identifiers 1

IdentifierTypeStateIssuer
268391100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20081201000335 NV Practitioner - Infectious DiseasePractitioner - Internal Medicine 4688666548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1905 McDaniel St
Suite 106
North Las Vegas, NV 89030-7170
Phone (702) 989-9449

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • North Vista Hospital Hospital, North Las Vegas, NV, CCN 290005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12880NVMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex Medicus, LLC CurrentSince Jul 16, 2009 Accepting new patients
Infectious Diseases Associates of Fort Lauderdale PA Infectious Disease Past Accepting new patients
Valley Primary Care Center LLC PastSince Nov 28, 2021 Accepting new patients
Infectious Disease Specialists, LLC Infectious Disease PastSince Oct 2, 2022 Accepting new patients

Locations

1905 McDaniel St
Ste 106
North Las Vegas, NV 89030
Phone (702) 797-0588

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1699771360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 W RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181919",
            "telephone_number": "702-845-2841",
            "fax_number": "702-252-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PERLITER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307309",
            "telephone_number": "702-396-4165",
            "fax_number": "702-656-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANNE-MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME88960",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "12880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268391100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.