Individual provider Active NPI

Tanya Roberts, MD

  • Family Medicine Physician
  • Dyer, IN
National Provider Identifier
1851383814
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01059615A Issued in IN
Practice address
919 Main St Ste 102
Dyer, IN 46311-3717
Phone
(219) 934-2492
Fax
(219) 934-8493
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01059615A IN Primary

Addresses

Primary practice location

919 Main St Ste 102
Dyer, IN 46311-3717

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1573 N Cline Ave
Griffith, IN 46319-1567
Phone (219) 838-2311

Other identifiers 2

IdentifierTypeStateIssuer
0090000854OtherILBCBS GROUP NUMBER
200492820MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ddanner4435@Direct.FranciscanAlliance.org Direct
Direct Messaging Address ddanner4435@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041013000782 IN Practitioner - Family Practice 1153381256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1573 N Cline Ave
Griffith, IN 46319-1567
Phone (219) 838-2311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059615AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Aug 1, 2011 Accepting new patients
Franciscan Physician Network Family Medicine Current Accepting new patients
Franciscan Physician Network CurrentSince Aug 1, 2011 Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients

Locations

35682 Eagle Way
Chicago, IL 60678

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

919 Main St
Ste 102
Dyer, IN 46311
Phone (219) 934-2492

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

1573 N Cline Ave
Griffith, IN 46319
Phone (219) 838-2311

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

10860 Maple Ln
Saint John, IN 46373
Phone (219) 365-7000

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: troberts4435@direct.franciscanalliance.org
  • Direct secure messaging: ddanner4435@direct.franciscanalliance.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1851383814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MAIN ST STE 102",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113717",
            "telephone_number": "219-934-2492",
            "fax_number": "219-934-8493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1573 N Cline Ave",
            "address_purpose": "LOCATION",
            "city": "Griffith",
            "state": "IN",
            "postal_code": "463191567",
            "country_code": "US",
            "telephone_number": "219-838-2311",
            "fax_number": "219-838-1521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TANYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059615A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0090000854",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200492820",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddanner4435@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1573 N Cline Ave",
            "city": "Griffith",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463191567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddanner4435@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 Main St Ste 102",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463113717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.