Victor Ragu Roberts, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 88739 Issued in FL

Practice address

1403 Medical Plaza Dr
Suite 207
Sanford, FL 32771-1000

Phone

(407) 365-6722

Fax

(407) 540-9764

NPI assigned

Jul 22, 2006

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Raghavender Rao Vaddepally Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mid Florida Physicians Inc

  • Internal Medicine Physician
  • Sanford, FL
  • NPI 1609056761
  Authorized official Same address or phone
• Sun State Medical Group Inc

  • Internal Medicine Physician
  • Sanford, FL
  • NPI 1477749224
  Authorized official Same address or phone
• Family Internal Medicine, PA

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1295786069
  NPD (past)
• Smart Life Consult LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1972833648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1972524189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-365-6722",
            "fax_number": "407-540-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-365-6722",
            "fax_number": "407-540-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "VICTOR",
        "middle_name": "RAGU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 88739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAGHAVENDER",
            "last_name": "VADDEPALLY",
            "middle_name": "RAO",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Omar M Rivera, D.C.
• Maria de Los Angeles Rivero Vander Briest, RBT
• Bryanna Abigale Robbins
• Robert J. Smith, M.D.
• Elizabeth Roberts
• Arianna Rodriguez Ricardo
• Brenda Rodriguez
• Judymar Rodriguez
• Kayla Skye Rodriguez, DPT, PT
• Luz Marisol Rodriguez, COTA

• Internal Medicine Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.