Active NPI
Joel Roberts, M.D.
- Family Medicine Physician
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60963491
- Practice address
- 1111 S 2ND Ave
Walla Walla, WA 99362-4118 - Phone
- (509) 897-3700
- NPI assigned
- Apr 28, 2017
- Last updated
- Feb 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60963491 | WA | Primary |
Addresses
Primary practice location
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Mailing address
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Phone (509) 897-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 S 2ND Ave
Walla Wall, WA 99362-4118
Phone (509) 897-3700
Hospital & facility affiliations
- Columbia River Home Health
- Providence at Home With Compassus Home Health, Walla Walla
- Providence St Mary Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60963491 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of Central Washington | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Community Health of Central Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1111 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 522-0100
380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
Interoperability endpoints
- jroberts1150935@wm.providencedirect.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.
-
dba Providence Medical Group Southeast Washington
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
Family Medicine
-
dba Highland Clinic
- Federally Qualified Health Center (FQHC)
- Tieton, WA
- NPI 1700255874
-
- Emergency Medicine Physician
- Walla Walla, WA
- NPI 1699926402
-
dba Providence St Mary Medical Center
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence at Home with Compassus Home Health, Walla Walla
- Home Health Agency
- Walla Walla, WA
- NPI 1730901745
-
dba Columbia River Home Health
- Home Health Agency
- Kennewick, WA
- NPI 1699263079
-
dba Providence St Mary Medical Center
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1932634706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624118",
"telephone_number": "509-897-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624118",
"telephone_number": "509-897-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60963491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.