Individual provider Active NPI

Tracy J Roberts, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Pensacola, FL
National Provider Identifier
1740341544
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
ME104897 Issued in FL
Practice address
5153 N 9TH Ave
Pediatric Office Building
Pensacola, FL 32504-8785
Phone
(850) 416-1575
Fax
(850) 416-1302
NPI assigned
Dec 13, 2006
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TRN6923 FL
Pediatric Orthopaedic Surgery Physician 207XP3100X 300814 LA
Orthopaedic Surgery of the Spine Physician 207XS0117X ME104897 FL
Pediatric Orthopaedic Surgery Physician 207XP3100X ME104897 FL Primary

Addresses

Primary practice location

5153 N 9TH Ave
Pediatric Office Building
Pensacola, FL 32504-8785

Mailing address

PO Box 2699
SHMG/Hpe
Pensacola, FL 32513-2699
Phone (850) 416-1575

Other practice location 1

1319 Jefferson Hwy
Jefferson, LA 70121-2406
Phone (504) 842-4000

Other identifiers 1

IdentifierTypeStateIssuer
001050400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA, NY, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20111027000190 FL Practitioner - Orthopedic Surgery 4789857319
I20160413000811 LA Practitioner - Orthopedic Surgery 4789857319 Reassigns benefits to 2 organizations
I20210621001443 NY Practitioner - Orthopedic Surgery 4789857319 Reassigns benefits to 1 organization
I20241121003375 IL Practitioner - Orthopedic Surgery 4789857319 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN6923FLMDOrthopaedic Surgery Physician
ME104897FLMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 23, 2025 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Nov 4, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 23, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Nov 4, 2024 Accepting new patients
Shriners Hospitals for Children CurrentSince Jan 19, 2016 Accepting new patients
Shriners Hospitals for Children CurrentSince Jan 19, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 4, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

5151 N 9th Ave
Ste G101
Pensacola, FL 32504
Phone (850) 416-2250

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

1319 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

3100 Samford Ave
Shreveport, LA 71103
Phone (318) 222-5704

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: troberts2439776@direct.ochsner.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1740341544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "address_2": "SHMG/HPE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-1575",
            "fax_number": "850-416-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE",
            "address_2": "PEDIATRIC OFFICE BUILDING",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048785",
            "telephone_number": "850-416-1575",
            "fax_number": "850-416-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "LA",
            "postal_code": "701212406",
            "country_code": "US",
            "telephone_number": "504-842-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TRACY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "TRN6923",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "LA",
            "license": "300814",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME104897",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME104897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001050400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.