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DR. MATTHEW BLAKE ROBERTS
NPI 1346801255
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 23, 2019PECOS Enrolled
55 FRUIT STREET, GRJ504, BOSTON, MA 02114(617) 726-3816 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, Jun 23, 2019 (2 updates tracked since 2019).

About Dr. Matthew Blake Roberts NPPES

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

DR. MATTHEW BLAKE ROBERTS (NPI 1346801255) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346801255
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MATTHEW BLAKE ROBERTS
Location Address55 FRUIT STREET, GRJ504Boston, MA 02114
Mailing Address55 Fruit Street, Grj 504, Id DivisionBoston, MA 02114-2621 · (617) 726-3812
Phone(617) 726-3816
Sole ProprietorNo
Enumeration DateJune 23, 2019
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1346801255 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.
55 FRUIT STREET, Boston, MA 02114
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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)

Dr. Matthew Blake Roberts 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.

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.

KUI TOH GERARD LEONG M.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8862
MS. JACQUELINE BANGO LICSW
Social Worker (Clinical)
55 FRUIT STREET, FOUNDERS BUILDING SUITE 880
BOSTON, MA 02114
Suffolk County (617) 643-8281
SARA ELIZABETH GROSSLEIN PA
Physician Assistant
55 FRUIT STREET, WHITE 1
BOSTON, MA 02114
Suffolk County (617) 724-4100
JEFFREY M ELLENBOGEN M.D.
Psychiatry & Neurology (Neurology)
55 FRUIT STREET, WANG 720 (NEUROLOGY)
BOSTON, MA 02114
Suffolk County (617) 724-7419
DR. NANCY LEE HARRIS MD
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-5155
DR. STANLEY YANG SHAW MD PHD
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 724-6750
LEONARDO V RIELLA M.D., PHD
Internal Medicine
55 FRUIT STREET, WHITE 5
BOSTON, MA 02114
Suffolk County (617) 726-5050
SUSAN MAHER CRNA
Nurse Anesthetist, Certified Registered
55 FRUIT STREET, CLN 309 MGH ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-3030

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 Matthew Roberts's NPI number?

The NPI number for Matthew Roberts is 1346801255. It was assigned to this individual provider in the NPPES registry on June 23, 2019.

Where is Matthew Roberts located?

Matthew Roberts practices at 55 Fruit Street Grj504, Boston, MA 02114. The listed phone number is (617) 726-3816.

What is Matthew Roberts's specialty?

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

Is Matthew Roberts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Roberts was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.