Individual provider Active NPI

Eric Justin Roberts, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Petersburg, FL
National Provider Identifier
1962630004
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3551 Issued in FL
Practice address
2026 5TH Ave N
Saint Petersburg, FL 33713-8078
Phone
(727) 954-5525
Fax
(888) 229-0143
NPI assigned
Jun 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3551 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X P77589 NY
Foot & Ankle Surgery Podiatrist 213ES0103X SC006136 PA

Addresses

Primary practice location

2026 5TH Ave N
Saint Petersburg, FL 33713-8078

Mailing address

2026 5TH Ave N
Saint Petersburg, FL 33713-8078
Phone (727) 954-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000430 FL Practitioner - Podiatry 6800051145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Wound Care LLCGroup PAC ID 0547780454, 3 clinicians

Practice addresses (Care Compare)

2026 5TH Ave N
St Petersburg, FL 33713-8078
Phone (727) 954-5525

Hospital & facility affiliations

  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue187
Removal of skin lesions18
Removal of nail tissue476
Removal or shaving of skin growth336
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P77589NYMDFoot & Ankle Surgery Podiatrist
SC006136PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
C&E Consultants Current Accepting new patients
Eric J Roberts DPM PA Foot & Ankle Surgery CurrentSince Jul 14, 2014 Accepting new patients
Ace Wound Care LLC CurrentSince Jan 7, 2025 Accepting new patients
Bayshore Podiatry Center PastSince Aug 2, 2020 Accepting new patients

Locations

2026 5th Ave N
St Petersburg, FL 33713
Phone (727) 954-5525

2191 9th Ave N
Ste 150
St Petersburg, FL 33713
Phone (727) 898-3647

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 1

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": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1962630004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 5TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138078",
            "telephone_number": "727-954-5525",
            "fax_number": "888-229-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 5TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138078",
            "telephone_number": "727-954-5525",
            "fax_number": "888-229-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ERIC",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-28",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3551",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "P77589",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.