ERIC G ROBERTS M.D. NPI 1407010879

NPI Information

NPI: 1407010879
Provider Name: ERIC G ROBERTS, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: AURORA MEDICAL GROUP INC

PECOS Registration: Yes

Address:
2900 W OKLAHOMA AVE
4TH FLOOR GALLERIA
MILWAUKEE, WI
ZIP 53215
Phone: (414) 646-5410
Get Directions

Eric G Roberts, M.D. is a cardiovascular disease internal medicine in Milwaukee, WI with 17 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Eric G Roberts, M.D. NPI is 1407010879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

2900 W OKLAHOMA AVE
4TH FLOOR GALLERIA
MILWAUKEE, WI
ZIP 53215
Phone: (414) 646-5410

The NPI 1407010879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/15/2008 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		125053403	ILLINOIS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	55936	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CE9230	OTHER		RAILROAD MEDICARE PTAN (GROUP)
2	100031179	MEDICAID	WISCONSIN
3	206147	OTHER		MEDICARE PTAN (GROUP)
4	P00880127	OTHER		RAILROAD MEDICARE PTAN (INDIVIDUAL)
5	036125276	MEDICAID	ILLINOIS
6	206147021	OTHER		MEDICARE PTAN (INDIVIDUAL)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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