ANDREW LAWRENCE ROBERTS (MD) – Pediatrics Physician, NPI 1083291587

ANDREW LAWRENCE ROBERTS (MD) is a healthcare provider. based in Berkley, Michigan. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 4301511305 (MI). The NPI Number for ANDREW LAWRENCE ROBERTS (MD) is 1083291587

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW LAWRENCE ROBERTS (MD)
NPI
1083291587
Phone
(248) 544-9300
Address
1964 W 11 MILE RD
Enumeration Date
29 March 2021
Last Update Date
2 July 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2484770552
Graduation Year
2021 (5 years ago)
PAC ID
5092253799
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20240813001670
Address ID
MI483365965FA27900AVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for ANDREW LAWRENCE ROBERTS (MD)

  • 1964 W 11 MILE RD

    BERKLEY, MI 480723046

    Phone: (248) 544-9300

    Fax: (248) 544-1148

    Type: Mailing

  • 13500 E MCNICHOLS RD

    DETROIT, MI 482053426

    Phone: (248) 544-9300

    Fax: (248) 544-1148

    Type: Location

  • 22201 MOROSS RD STE 80

    DETROIT, MI 482362169

    Phone: (313) 343-3800

    Fax: (313) 343-4756

    Type: Mailing

  • 1964 W 11 Mile Rd

    Berkley, MI 480723046

    Phone: (248) 544-9300

    Fax: (248) 544-1148

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ViiV Healthcare Company ($245).

Total Amount

$312

General + Research + Ownership

Payments

6

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2024-08-13

PECOS data refreshed: 2026-05-27

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
I20240813001670IPediatric MedicineMITBD

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 48072)

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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: 0345413258View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
Internal MedicineMI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Medical Oncology, Internal MedicineMI
-MI
-AE
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW LAWRENCE ROBERTS (MD)'s NPI?
Yes. ANDREW LAWRENCE ROBERTS (MD) is listed with NPI 1083291587 in the public NPI dataset.
Is ANDREW LAWRENCE ROBERTS (MD) still practicing?
ANDREW LAWRENCE ROBERTS (MD) is currently listed as active in the public NPI registry.
What is ANDREW LAWRENCE ROBERTS (MD)'s primary classification?
Pediatrics Physician is the headline specialty for ANDREW LAWRENCE ROBERTS (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREW LAWRENCE ROBERTS (MD) on a map?
Expect Berkley, Michigan as a primary anchor for ANDREW LAWRENCE ROBERTS (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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