CARL RAY ROBERTS M.D. NPI 1770582207

NPI Information

NPI: 1770582207
Provider Name: CARL RAY ROBERTS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1856 E INNOVATION PARK DR
ORO VALLEY, AZ
ZIP 85755
Phone: (520) 825-7111
Get Directions

Carl Ray Roberts, M.D. is a general practice in Oro Valley, AZ. Carl Ray Roberts, M.D. NPI is 1770582207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1856 E INNOVATION PARK DR
ORO VALLEY, AZ
ZIP 85755-963
Phone: (520) 825-7111
Fax: (520) 818-1253

The NPI 1770582207 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), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 5/13/2015.

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	208D00000X	General Practice		25852	ARIZONA	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	400648003	MEDICAID	ARIZONA
2	F43432	MEDICARE UPIN

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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