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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY MARGARET ROBERTS RD, LD
NPI 1043196553
Dietitian, Registered in Tyler, TX

Active since August 12, 2025
1120 E FRONT ST, TYLER, TX 75702(903) 606-3630(903) 606-3660 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, Sep 2, 2025, Aug 12, 2025 (3 updates tracked since 2025).

About Mary Margaret Roberts Rd, Ld NPPES

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

MARY MARGARET ROBERTS RD, LD (NPI 1043196553) is an individual dietitian, registered in Tyler, Texas, licensed in Texas (DT92370) and active in the NPI registry since August 2025. She maintains a secondary practice location in Tyler and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043196553
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY MARGARET ROBERTSCredential: RD, LD
Location Address1120 E FRONT STTyler, TX 75702-8414
Mailing Address1120 E Front StTyler, TX 75702-8414 · (903) 606-3630 · Fax (903) 606-3660
Phone(903) 606-3630
Fax(903) 606-3660
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 12, 2025
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1043196553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT92370
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1120 E FRONT ST, Tyler, TX 75702
Open in Google Maps ↗

Secondary Practice Location 1

Location 18934 S Broadway Ave Ste 448Tyler, TX 75703-5475 · Phone (903) 606-5100 · Fax (903) 606-5105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Margaret Roberts Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951806082
PECOS Enrollment IDI20250927000382

Medicare Billing Reassignment

Medicare enrollment records show Mary Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas
1.2 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

SARA NANDOLIA DO
Pediatrics (Pediatric Gastroenterology)
1120 E FRONT ST
TYLER, TX 75702
Smith County (903) 606-3630
TRAVIS A MARKLE D.D.S.
Dentist (General Practice)
1120 E FRONT ST
TYLER, TX 75702
Smith County (903) 597-7902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Roberts's NPI number?

The NPI number for Mary Roberts is 1043196553. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Mary Roberts located?

Mary Roberts practices at 1120 E Front St, Tyler, TX 75702. The listed phone number is (903) 606-3630.

What is Mary Roberts's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mary Roberts enrolled in Medicare?

Yes. Mary Roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Roberts reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Roberts accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Mary Roberts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Roberts was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.