LAURENCE ALEXANDER ROBERTS MD
NPI 1003556754
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Q: What is Laurence Roberts's NPI number?

The NPI number for Laurence Roberts is 1003556754. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Laurence Roberts's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Laurence Roberts was last updated on May 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2022PECOS Enrolled

44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3000 Get Directions Write a Review

NPPES record last updated: May 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Laurence Alexander Roberts Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURENCE ALEXANDER ROBERTS MD (NPI 1003556754) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003556754

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLAURENCE ALEXANDER ROBERTSCredential: MD

Location Address44405 WOODWARD AVEPontiac, MI 48341-5023

Mailing Address44555 Woodward Ave Ste 308Pontiac, MI 48341-5031 · (248) 858-6068

Phone(248) 858-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 30, 2022

Last NPPES UpdateMay 12, 2024

NPPES CertifiedJune 7, 2023

✔ NPI 1003556754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

44405 WOODWARD AVE, Pontiac, MI 48341

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurence Alexander Roberts Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486122447

PECOS Enrollment IDI20260507002435

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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