Dudley Roberts Iii (NPI# 1922094507, PAC ID# 7911979372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922094507 |
| PAC ID by PECOS | 7911979372 |
| Professional Enrollment ID | I20040806001272 |
| Full Name | Dudley Roberts Iii |
| Address |
18245 E 10 Mile Rd Suite 120 Roseville MI 48066-5807 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| Address | Phone | Organization |
|---|---|---|
| 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 69% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 79% |
| Street Address |
18245 E 10 MILE RD SUITE 120 |
| City | ROSEVILLE |
| State | MI |
| Zip | 48066-5807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Ryan Ciullo | Hand Surgery | Michigan Surgery Specialists PC | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 |
| Sabah Mohyaddin Mohammed | Internal Medicine | Sabah Internal Medicine Pllc | 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 |
| Ara Nason Bush | Hand Surgery | Michigan Surgery Specialists PC | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 |
| Steven R Rogers | Physician Assistant | Sabah Internal Medicine Pllc | 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 |
| Jeffrey M Hall | Hand Surgery | Michigan Surgery Specialists PC | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 |
| Mazin M Deen | Internal Medicine | Sabah Internal Medicine Pllc | 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Stern | Psychologist, Clinical | 18245 Ten Mile Rd, Suite 140, Roseville, MI 48066 | |
| Gulshan Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Ruchika Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Christie Ann Schunemann | Nurse Practitioner | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Anil Singh | Internal Medicine | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Cari L Mcclellan | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Ambika Kunnath Puliyakote | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Lisa S Lee | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Cora Coleman | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Jennifer D Noricks | Clinical Social Worker | 28491 Utica Rd, Roseville, MI 48066-2593 | |
| Find all physicians in zip 48066 | |||
| City | ROSEVILLE |
| Zip Code | 48066 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROSEVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dudley Roberts Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.