Active NPI
Polly Benbow Roberts, M.D.
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1942412820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO013853
- Practice address
- 6401 York Rd
3Rd Floor
Baltimore, MD 21212-2152 - Phone
- (410) 887-2718
- NPI assigned
- May 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO013853 | MD | Primary |
Addresses
Primary practice location
6401 York Rd
3Rd Floor
Baltimore, MD 21212-2152
Mailing address
4 Beechmere LN
Cockeysville, MD 21030-1102
Phone (410) 584-2667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO013853 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942412820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BEECHMERE LN",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210301102",
"telephone_number": "410-584-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 YORK RD",
"address_2": "3RD FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122152",
"telephone_number": "410-887-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "POLLY",
"middle_name": "BENBOW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "DO013853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.