Individual provider Active NPI

Michalle Wooten Roberts, M.D.

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1720072259
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J4483 Issued in TX
Practice address
13111 East Fwy
Houston, TX 77015-5820
Phone
(713) 432-1100
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J4483 TX Primary

Addresses

Primary practice location

13111 East Fwy
Houston, TX 77015-5820

Mailing address

PO Box 421209
Houston, TX 77242-1209

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
I20051026000934 TX Practitioner - Anesthesiology 3870510100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians
Compass Anesthesia Providers, PLLCGroup PAC ID 4082040878, 164 clinicians
St Jude Medical Consultants PLLCGroup PAC ID 8628400256, 6 clinicians

Practice addresses (Care Compare)

1917 Ashland St
Houston, TX 77008-3907
Phone (346) 396-1314

333 N Texas Ave
Webster, TX 77598-4966
Phone (281) 358-8114

3786 FM 1488 Rd
Suite 160
Conroe, TX 77384-4987
Phone (342) 272-0026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Medical Consultants PLLC CurrentSince Mar 15, 2023 Accepting new patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince Oct 18, 2024 Accepting new patients
Compass Anesthesia Providers PLLC Anesthesiology CurrentSince Jul 22, 2020 Accepting new patients
Usm Anesthesia Associates LLC PastSince Mar 24, 2024 Accepting new patients
North Houston Surgical Hospital, LLC Past Accepting new patients
Conroe Medihealth Associates PA Past Accepting new patients
Rda Associates PLLC Anesthesiology Past Accepting new patients
Baylor College of Medicine Anesthesiology Past Accepting new patients
Woodlands Ionm LLC PastSince Mar 15, 2023 Accepting new patients

Locations

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

3786 FM 1488 Rd
Ste 160
Conroe, TX 77384
Phone (342) 272-0026

1917 Ashland St
#1
Houston, TX 77008
Phone (346) 474-6474

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

9180 Katy Fwy
Ste 250
Houston, TX 77055
Phone (281) 348-0400

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

1475 FM 1960 Bypass Rd E
Ste E
Humble, TX 77338

1075 Kingwood Dr
Ste 150
Kingwood, TX 77339
Phone (281) 348-0426

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

2225 Williams Trace Blvd
Ste 108
Sugar Land, TX 77478
Phone (281) 240-4300

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

333 N Texas Ave
Webster, TX 77598
Phone (281) 335-1700

Interoperability endpoints

  • Direct secure messaging: michalle.roberts.1@13131.direct.athenahealth.com

Organizations & group practices 9

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1720072259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155820",
            "telephone_number": "713-432-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN ROBERTS",
        "first_name": "MICHALLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J4483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.