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DR. SAMUEL H ROBERTS D.O.
NPI 1114948957
Family Medicine in Mesa, AZ

Active since July 21, 2006PECOS Enrolled
4111 E VALLEY AUTO DR, SUITE 209, MESA, AZ 85206(480) 982-0922(480) 539-2888 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel H Roberts D.o. NPPES

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

DR. SAMUEL H ROBERTS D.O. (NPI 1114948957) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (1467) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114948957
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL H ROBERTSCredential: D.O.
Location Address4111 E VALLEY AUTO DR, SUITE 209Mesa, AZ 85206-4605
Mailing AddressPo Box 5880Apache Junction, AZ 85178-0032 · (480) 982-0922 · Fax (480) 539-2888
Phone(480) 982-0922
Fax(480) 539-2888
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 24, 2017
✔ NPI 1114948957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 1467
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4111 E VALLEY AUTO DR, Mesa, AZ 85206
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Other Identifiers 2

Medicare UPIND47142
Medicare UPIND47142AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel H Roberts D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 17

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

MS. ROBIN S PFOHL LPC
Counselor (Professional)
4111 E VALLEY AUTO DR, SUITE 201
MESA, AZ 85206
Maricopa County (520) 560-6984
MS. ROSE MARIE LICHTENFELS LCSW
Social Worker (Clinical)
4111 E VALLEY AUTO DR, SUITE 201
MESA, AZ 85206
Maricopa County (480) 347-8136
GABRIELA RODRIGUEZ LAC
Counselor (Mental Health)
4111 E VALLEY AUTO DR
MESA, AZ 85206
Maricopa County (480) 269-0040
HEATHER LOBER MS, LMFT
Marriage & Family Therapist
4111 E VALLEY AUTO DR, SUITE 201
MESA, AZ 85206
Maricopa County (480) 677-0199
BRENDON M. HALL M.S.
Massage Therapist
4111 E VALLEY AUTO DR, SUITE 201
MESA, AZ 85206
Maricopa County (602) 369-0823
ARIZONA TRAUMA COUNSELING LLC
Social Worker (Clinical)
4111 E VALLEY AUTO DR, SUITE 201
MESA, AZ 85206
Maricopa County (480) 666-5534
SONORAN SAGE COUNSELING
Counselor (Mental Health)
4111 E VALLEY AUTO DR, STE 201
MESA, AZ 85206
Maricopa County (602) 456-0107
CHELSEA ALEXANDRA ROBERTS M.D.
General Practice
4111 E VALLEY AUTO DR
MESA, AZ 85206
Maricopa County (480) 982-0922

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 Samuel Roberts's NPI number?

The NPI number for Samuel Roberts is 1114948957. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Samuel Roberts located?

Samuel Roberts practices at 4111 E Valley Auto Dr Suite 209, Mesa, AZ 85206. The listed phone number is (480) 982-0922.

What is Samuel Roberts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Roberts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Roberts was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.