ABRA ROBERTS - NPI 1942904198 - Pediatrics in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

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About Abra Roberts NPPES

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

ABRA ROBERTS (NPI 1942904198) is an individual pediatric hematology-oncology provider in Salt Lake City, Utah, licensed in Utah (14279717-1205) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1942904198

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameABRA ROBERTS

Location Address295 S CHIPETA WAY RM 2000Salt Lake City, UT 84108-1287

Mailing Address295 S Chipeta Way Rm 2000Salt Lake City, UT 84108-1287 · (801) 662-5700

Phone(801) 662-5700

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1942904198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in UT · 14279717-1205

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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

295 S CHIPETA WAY RM 2000, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-5321 · Fax (434) 244-4142

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abra 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.