MICHAEL ANDREW ROBERTS, M.D., INC., A PROFESSIONAL CORPORATION
NPI 1649418666
Ophthalmology in Glendale, CA

Active since January 29, 2009
1510 S CENTRAL AVE STE 100, GLENDALE, CA 91204(213) 483-2416(213) 483-8211 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2020, Apr 19, 2017 (2 updates tracked since 2017).

About Michael Andrew Roberts, M.d., Inc., A Professional Corporation NPPES

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

MICHAEL ANDREW ROBERTS, M.D., INC., A PROFESSIONAL CORPORATION (NPI 1649418666) is a healthcare organization registered as an ophthalmology in Glendale, California and active in the NPI registry since January 2009. The organization lists Michael Andrew Roberts, President, as its authorized official.

NPPES Registry Identity

NPI1649418666
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMICHAEL ANDREW ROBERTS, M.D., INC., A PROFESSIONAL CORPORATION
Location Address1510 S CENTRAL AVE STE 100Glendale, CA 91204-2582
Mailing Address1510 S Central Ave Ste 100Glendale, CA 91204-2582 · (213) 483-2416 · Fax (213) 483-8211
Fax(213) 483-8211
Organization SubpartNo
Authorized OfficialMichael Andrew RobertsPresident · (213) 483-2416
Enumeration DateJanuary 29, 2009
Last NPPES UpdateJune 9, 20202 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
✔ NPI 1649418666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A77138
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1510 S CENTRAL AVE STE 100, Glendale, CA 91204

Other Identifiers 1

Medicaid00A771380CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Andrew Roberts, M.d., Inc., A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20090608000254Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael Andrew Roberts, M.D., Inc., A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1396738530
1510 S CENTRAL AVE STE 100
Glendale, CA 91204
(213) 483-2416
✔ PECOS✔ Accepts MedicareSame address

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

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 Michael Andrew Roberts, M.D., Inc., A Professional Corporation's NPI number?

The NPI number for Michael Andrew Roberts, M.D., Inc., A Professional Corporation is 1649418666. It was assigned to this organization in the NPPES registry on January 29, 2009.

Where is Michael Andrew Roberts, M.D., Inc., A Professional Corporation located?

Michael Andrew Roberts, M.D., Inc., A Professional Corporation is located at 1510 S Central Ave Ste 100, Glendale, CA 91204. The listed phone number is (213) 483-2416.

What is Michael Andrew Roberts, M.D., Inc., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Andrew Roberts, M.D., Inc., A Professional Corporation enrolled in Medicare?

Yes. Michael Andrew Roberts, M.D., Inc., A Professional Corporation is registered in the Medicare PECOS enrollment system.

When is Michael Andrew Roberts, M.D., Inc., A Professional Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michael Andrew Roberts, M.D., Inc., A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Michael Andrew Roberts, M.D., Inc., A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael Andrew Roberts, M.D., Inc., A Professional Corporation was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.