Individual provider Active NPI

Kesha Shunte Robertson, M.D.

  • Hospitalist Physician
  • Prince Frederick, MD
National Provider Identifier
1790932499
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
57684 Issued in TN
Practice address
110 Hospital Rd Ste 203
Prince Frederick, MD 20678-4045
Phone
(410) 414-4740
Fax
(410) 414-4741
NPI assigned
Aug 25, 2008
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 57684 TN
Obstetrics & Gynecology Physician 207V00000X 0101279656 VA
Hospitalist Physician 208M00000X 0101279656 VA
Obstetrics & Gynecology Physician 207V00000X D85185 MD
Hospitalist Physician 208M00000X 57684 TN Primary
Obstetrics & Gynecology Physician 207V00000X N4041 TX

Addresses

Primary practice location

110 Hospital Rd Ste 203
Prince Frederick, MD 20678-4045

Mailing address

100 Hospital Road
Attn: Contracting & Credentialing Coordinator
Prince Frederick, MD 20678
Phone (410) 414-4791

Other practice location 1

1601 Liberty St
Suite A
Richmond, TX 77469-3252
Phone (281) 342-6962

Other practice location 2

105 W Park Dr
Kingsport, TN 37660-3805
Phone (423) 224-3220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kesha.robertsonmdfacog.p1@direct.calverthealth.nextgenshare.com Health Information Exchange (HIE) CalvertHealth Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD, TN, DC4 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
I20180215002503 CA Practitioner - Obstetrics/Gynecology 7517006240 Reassigns benefits to 2 organizations
I20180508000970 MD Practitioner - Obstetrics/Gynecology 7517006240 Reassigns benefits to 1 organization
I20181114003674 TN Practitioner - Obstetrics/Gynecology 7517006240 Reassigns benefits to 3 organizations
I20231210000006 DC Practitioner - Obstetrics/Gynecology 7517006240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of Virginia PCGroup PAC ID 8820247752, 13 clinicians

Practice addresses (Care Compare)

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D85185MDMDObstetrics & Gynecology Physician
57684TNMDObstetrics & Gynecology Physician
N4041TXMDObstetrics & Gynecology Physician
0101279656VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Obhg California, P.C. Multi-Specialty CurrentSince Dec 1, 2022 Accepting new patients
Wellmont Medical Associates, Inc. Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
Obhg Tennessee, P.C. Multi-Specialty CurrentSince Oct 12, 2018 Accepting new patients
Magella Medical Group, Inc. Multi-Specialty CurrentSince Mar 11, 2018 Accepting new patients
Medstar Medical Group II LLC Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
Hospital Medicine Services of TN, LLC Multi-Specialty CurrentSince Mar 22, 2025 Accepting new patients
DHP of Virginia PC Multi-Specialty CurrentSince Nov 1, 2023 Accepting new patients
Calverthealth Medical Group, LLC Multi-Specialty Past Accepting new patients
Mountain States Health Alliance Past Accepting new patients

Locations (25 of 30)

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

105 W Park Dr
Kingsport, TN 37660
Phone (423) 224-3220

Interoperability endpoints

  • Direct secure messaging: krobertson@direct.uspi.com
  • Direct secure messaging: krobertson309164@balladhealth.medalliesdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1790932499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ROAD",
            "address_2": "ATTN: CONTRACTING & CREDENTIALING COORDINATOR",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-414-4791",
            "fax_number": "410-414-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784045",
            "telephone_number": "410-414-4740",
            "fax_number": "410-414-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Liberty St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693252",
            "country_code": "US",
            "telephone_number": "281-342-6962",
            "fax_number": "281-342-6963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W Park Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603805",
            "country_code": "US",
            "telephone_number": "423-224-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KESHA",
        "middle_name": "SHUNTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "57684",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101279656",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101279656",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D85185",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "57684",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N4041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kesha.robertsonmdfacog.p1@direct.calverthealth.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address to send CCDAs",
            "affiliationName": "CalvertHealth Medical Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDAs",
            "address_1": "110 Hospital Rd Ste 203",
            "city": "Prince Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206784045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.