Active NPI
Kenneth Wayne Roberts, MD
- Emergency Medicine Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME153623
- Practice address
- Aventura Hospital & Medical Center
20900 Biscayne Blvd
Aventura, FL 33138 - Phone
- (305) 682-7000
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | ME153623 | FL | Primary |
Addresses
Primary practice location
Aventura Hospital & Medical Center
20900 Biscayne Blvd
Aventura, FL 33138
Mailing address
18071 Biscayne Blvd Apt 1003
Aventura, FL 33160-5230
Phone (704) 609-5454
Other names 1
- Dr. Ken Wayne Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 364-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME153623 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Emergency Services of Florida PA | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Single Specialty | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Single Specialty | Current | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
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.
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
FL, Single Specialty
-
- Emergency Medicine Physician
- West Palm Beach, FL
- NPI 1295720241
Single Specialty
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
Single Specialty
-
- Emergency Medicine Physician
- Boynton Beach, FL
- NPI 1578814570
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648857600000",
"number": "1801359559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18071 BISCAYNE BLVD APT 1003",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331605230",
"telephone_number": "704-609-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENTURA HOSPITAL & MEDICAL CENTER",
"address_2": "20900 BISCAYNE BLVD",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33138",
"telephone_number": "305-682-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KENNETH",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2022-04-02",
"certification_date": "2022-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME153623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEN",
"last_name": "ROBERTS",
"middle_name": "WAYNE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.