PAUL ROBERTS DO
NPI 1104357946
Internal Medicine - Infectious Disease in Hialeah, FL

Q: What is Paul Roberts's NPI number?

The NPI number for Paul Roberts is 1104357946. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Q: What is Paul Roberts's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Paul Roberts was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 23, 2017PECOS EnrolledAccepts Medicare Assignment

2001 W 68TH ST, SUITE 202, HIALEAH, FL 33016(305) 364-2107 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Oct 26, 2022, Sep 15, 2022 and 3 more (6 updates tracked since 2017).

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About Paul Roberts Do NPPES

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

PAUL ROBERTS DO (NPI 1104357946) is an individual infectious disease provider in Hialeah, Florida, licensed in Florida (OS16413) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Steward Palmetto General Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (2017).

NPPES Registry Identity

NPI1104357946

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NamePAUL ROBERTSCredential: DO

Location Address2001 W 68TH ST, SUITE 202Hialeah, FL 33016-1801

Mailing AddressPo Box 160057Miami, FL 33116-0057 · (786) 358-4443 · Fax (786) 685-2059

Phone(305) 364-2107

Sole ProprietorYes

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2017

Enumeration DateMarch 23, 2017

Last NPPES UpdateJanuary 10, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1104357946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in FL · OS16413

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedGeneral PracticeTaxonomy 208D00000X · License OS16413 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2001 W 68TH ST, Hialeah, FL 33016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Roberts Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507135951

PECOS Enrollment IDI20220811002160

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

382 services108 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

103 services98 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100187

Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STEWARD PGH, INC.

Psychiatric Hospital