Martin Roberts, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0088383 Issued in FL

Practice address

900 East Broadway
St Alexius Health
Bismarck, ND 58506

Phone

(701) 530-7000

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL, ND2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Alexius Medical Center

  dba CHI St. Alexius Health Clinics

  • Specialist
  • Bismarck, ND
  • NPI 1205868429
  Medicare reassignment NPD
• St Alexius Medical Center

  dba CHI St. Alexius Health

  • Home Infusion Therapy Pharmacy
  • Bismarck, ND
  • NPI 1063663607
  NPD
• Bayne Jones Army Community Hospital

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1831586312

  Internal Medicine

  NPD (past)
• Hospital Medicine Associates LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1093758781

  Internal Medicine

  NPD (past)
• Inpatient Physicians of Derry PLLC

  • Hospitalist Physician
  • Derry, NH
  • NPI 1407043896
  NPD (past)
• Rockledge Hospitalist Services LLC

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1699068908
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1851357131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAYFLOWER CT E",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344464977",
            "telephone_number": "352-476-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EAST BROADWAY",
            "address_2": "ST ALEXIUS HEALTH",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58506",
            "telephone_number": "701-530-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476708",
            "country_code": "US",
            "telephone_number": "850-862-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091219",
            "country_code": "US",
            "telephone_number": "505-727-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Elm St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022512",
            "country_code": "US",
            "telephone_number": "505-724-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Dr Martin Luther King Jr Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871023619",
            "country_code": "US",
            "telephone_number": "505-727-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2907 Pleasant Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166024305",
            "country_code": "US",
            "telephone_number": "814-943-8164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2001-89",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "10452",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0088383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200030",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD NH",
            "identifier": "AA121351",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274736700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "34097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "01Y013580NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G1448",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Rivinius, LPCC
• Gerald Rixen
• Cassie Roberdeau, LSW
• Robert H. Walth Jr.
• Lindsay M Roberts, MS, OTR/L
• Nicholas James Robertson
• Maya Ann Robinson, PHARMD
• Robin L Robinson
• Brittany Robitaille-Muffler
• Brennan Paul Roche, LAPC

• Internal Medicine Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Internal Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.