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DR. KENNETH WAYNE ROBERTS MD
NPI 1801359559
Emergency Medicine in Aventura, FL

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
AVENTURA HOSPITAL & MEDICAL CENTER, 20900 BISCAYNE BLVD, AVENTURA, FL 33138(305) 682-7000 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth Wayne Roberts Md NPPES

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

DR. KENNETH WAYNE ROBERTS MD (NPI 1801359559) is an individual emergency medicine provider in Aventura, Florida, licensed in Florida (ME153623) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801359559
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KENNETH WAYNE ROBERTSCredential: MD
Location AddressAVENTURA HOSPITAL & MEDICAL CENTER, 20900 BISCAYNE BLVDAventura, FL 33138
Mailing Address18071 Biscayne Blvd Apt 1003Aventura, FL 33160-5230 · (704) 609-5454
Phone(305) 682-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateApril 2, 2022
NPPES CertifiedApril 2, 2022
✔ NPI 1801359559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME153623
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
AVENTURA HOSPITAL & MEDICAL CENTER, Aventura, FL 33138
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Other Names 1

Other Name (5)Dr. Ken Wayne Roberts Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Wayne Roberts Md 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 ID6507243474
PECOS Enrollment IDI20220513002376
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenneth Roberts reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sterling Emergency Services Of Florida PA
3.9 mi
Emergency Medicine
3600 WASHINGTON ST
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 113 clinicians in this Medicare group
NPI 1306831359 (954) 966-4500
Paragon Contracting Services LLC
655 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
Emergency Medicine Services Of Tx, PLLC
1,154 mi
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
NPI 1245938729 (210) 575-4000

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
229 services224 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
70 services69 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33138 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

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 Kenneth Roberts's NPI number?

The NPI number for Kenneth Roberts is 1801359559. It was assigned to this individual provider in the NPPES registry on April 10, 2019. The provider is also known as Dr. Ken Wayne Roberts MD.

Where is Kenneth Roberts located?

Kenneth Roberts practices at Aventura Hospital & Medical Center 20900 Biscayne Blvd, Aventura, FL 33138. The listed phone number is (305) 682-7000.

What is Kenneth Roberts's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Roberts enrolled in Medicare?

Yes. Kenneth Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kenneth Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Roberts reassigns Medicare benefits to 3 organizations: Sterling Emergency Services Of Florida PA (Hollywood, FL), Paragon Contracting Services LLC (Birmingham, AL) and Emergency Medicine Services Of Tx, PLLC (San Antonio, TX). Each 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 Kenneth Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Roberts accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Kenneth 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.

Is Kenneth Roberts affiliated with any hospitals?

According to CMS data, Kenneth Roberts is affiliated with Bethesda Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Roberts was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.