DR. MICAH JAMES ROBERTS (D.O.) – Clinical Cardiac Electrophysiology Physician, NPI 1972772945

DR. MICAH JAMES ROBERTS (D.O.) is a healthcare provider. based in Rancho cordova, California. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 13291 (CA). The NPI Number for DR. MICAH JAMES ROBERTS (D.O.) is 1972772945

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICAH JAMES ROBERTS (D.O.)
NPI
1972772945
Phone
Not provided
Address
3400 DATA DR
Enumeration Date
25 February 2008
Last Update Date
30 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003535400
Graduation Year
2007 (19 years ago)
PAC ID
1557544780
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20110325000630
Address ID
CA933011407BA3733XSTXX401

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

313 CARDIAC ELECTROPHYSIOLOGY in CA

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Provider Addresses for DR. MICAH JAMES ROBERTS (D.O.)

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    ATTN: CREDENTIALING/PAYER ENROLLMENT

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • San Dimas Street, Bakersfield, Kern County, California, 93305, United States

    BAKERSFIELD, CA 933011496

    Phone: (661) 321-3161

    Fax: (661) 321-3166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $3,388.

Total Amount is formed as General ($3,388) + Research ($0) + Ownership ($0) = $3,388.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($1,585).

Total Amount

$3,388

General + Research + Ownership

Payments

52

Total payment records

General Amount

$3,388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110325000630ICardiac ElectrophysiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95670)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Where can patients find DR. MICAH JAMES ROBERTS (D.O.)'s NPI?
You can confirm DR. MICAH JAMES ROBERTS (D.O.) with NPI 1972772945; it appears in the national provider directory.
Is DR. MICAH JAMES ROBERTS (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MICAH JAMES ROBERTS (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. MICAH JAMES ROBERTS (D.O.) with Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MICAH JAMES ROBERTS (D.O.) practice in California?
You will see Rancho Cordova, California on file for DR. MICAH JAMES ROBERTS (D.O.) alongside any extra practice locations.
Is DR. MICAH JAMES ROBERTS (D.O.) a real provider?
This page reflects official NPPES data for NPI 1972772945. Always confirm identity and privileges with the practice and licensing boards.

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