DR. MARK IAN ROBERTS (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1457330383
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
236 EMERGENCY MEDICINE in DE
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Provider Addresses for DR. MARK IAN ROBERTS (MD)
Beebe Medical Center, 424, Savannah Road, Highland Acres, Lewes, Sussex County, Delaware, 19958, United States
LEWES, DE 19958
Phone: (302) 645-3296
Fax: (302) 645-3862
Type: Location
Wilmington Post Office, Chestnut Street, Wilmington, New Hanover County, North Carolina, 28405, United States
WILMINGTON, DE 19804
Phone: (302) 224-5678
Fax: (302) 224-2848
Type: Mailing
3474 N PROSPECTORS RD
APACHE JUNCTION, AZ 851199872
Phone: (302) 538-0929
Type: Mailing
401 BURRO ALY
MORENCI, AZ 855409647
Phone: (928) 865-7501
Fax: (928) 865-9186
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-04-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121115000035 | I | Emergency Medicine | AZ | TBD |
| I20220418001080 | I | Emergency Medicine | TX | TBD |
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.
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 19958)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Emergency Medicine | TX | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Emergency Medicine | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Osteopathic Manipulative Medicine | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Nurse Practitioner | AZ |
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