Individual provider Active NPI

Sharon Roberts, M.D.

  • Emergency Medicine Physician
  • Smithfield, VA
National Provider Identifier
1982671228
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101246273 Issued in VA
Practice address
118 Muirfield
Smithfield, VA 23430-6994
Phone
(678) 982-7779
Fax
(678) 982-7779
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 031189 GA
Internal Medicine Physician 207R00000X 031189 GA
Internal Medicine Physician 207R00000X 0101246273 VA
Emergency Medicine Physician 207P00000X 0101246273 VA Primary

Addresses

Primary practice location

118 Muirfield
Smithfield, VA 23430-6994

Mailing address

118 Muirfield
Smithfield, VA 23430-6994
Phone (678) 982-7779

Other practice location 1

2208 Executive Dr Ste E
Hampton, VA 23666-6603
Phone (804) 349-4491

Other identifiers 2

IdentifierTypeStateIssuer
000473448OMedicaidGA
1982671228MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101129000285 VA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1052213618 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031189GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Jun 1, 2016 Accepting new patients
Riverside Physician Services Inc Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Georgia Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

111 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 221-0006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1982671228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MUIRFIELD",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306994",
            "telephone_number": "678-982-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MUIRFIELD",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306994",
            "telephone_number": "678-982-7779",
            "fax_number": "678-982-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 Executive Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666603",
            "country_code": "US",
            "telephone_number": "804-349-4491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "031189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "031189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246273",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101246273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000473448O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982671228",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

Verify at the official NPI Registry.