Individual provider Active NPI

Matthew L McRoberts, M.D.

  • Pediatrics Physician
  • Madison, IN
National Provider Identifier
1932464070
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101255211 Issued in VA
Practice address
311 E Clifty Dr
Madison, IN 47250-4621
Phone
(859) 685-5325
NPI assigned
Jul 4, 2012
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101255211 VA Primary

Addresses

Primary practice location

311 E Clifty Dr
Madison, IN 47250-4621

Mailing address

311 E Clifty Dr
Madison, IN 47250-4621

Other practice location 1

1373 E State Road 62
Level 2
Madison, IN 47250-7328
Phone (812) 801-0300

Other identifiers 2

IdentifierTypeStateIssuer
300028512MedicaidIN
7100608040MedicaidKY

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
I20190729000773 IN Practitioner - Pediatric Medicine 7113210931 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255211VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Pediatric Wellness Center Pediatrics Current Accepting new patients
Norton - Kings Daughters Health Inc Pediatrics CurrentSince Jul 18, 2019 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Jan 1, 2025 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Jul 18, 2019 Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1373 E State Road 62
#2
Madison, IN 47250
Phone (812) 801-0300

311 E Clifty Dr
Madison, IN 47250
Phone (502) 593-0083

Interoperability endpoints

  • Direct secure messaging: mmcroberts244946@direct.nortonhealthcare.org

Organizations & group practices 5

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": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1932464070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504621",
            "telephone_number": "859-685-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62",
            "address_2": "Level 2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0300",
            "fax_number": "812-801-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCROBERTS",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-04",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101255211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028512",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100608040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.