DUDLEY III ROBERTS (M.D.) – Internal Medicine Physician, NPI 1922094507

DUDLEY III ROBERTS (M.D.) is a healthcare provider. based in Roseville, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. DR051585 (MI). The NPI Number for DUDLEY III ROBERTS (M.D.) is 1922094507

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DUDLEY III ROBERTS (M.D.)
NPI
1922094507
Phone
(586) 774-8710
Address
18245 E 10 MILE RD
Enumeration Date
20 September 2005
Last Update Date
1 November 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3134731000
Graduation Year
1987 (39 years ago)
PAC ID
7911979372
Professional Enrollment ID
I20040806001272
Address ID
MI482301507GR468XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Loading map...

Provider Addresses for DUDLEY III ROBERTS (M.D.)

  • East 10 Mile Road, Roseville, Macomb County, Michigan, 48080, United States

    SUITE 120

    ROSEVILLE, MI 480665807

    Phone: (586) 774-8710

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-08-24 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($26).

Total Amount

$96

General + Research + Ownership

Payments

6

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-24

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: 2004-08-06

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
I20040806001272IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes16152$0
36415Insertion of needle into vein for collection of blood sample7636$0
99215Established patient office or other outpatient visit, 40-54 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 48066)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DUDLEY III ROBERTS (M.D.) listed with a National Provider Identifier?
Yes — DUDLEY III ROBERTS (M.D.) has NPI 1922094507 on file in the registry.
Is DUDLEY III ROBERTS (M.D.) shown as active in public data?
Registry records indicate DUDLEY III ROBERTS (M.D.) maintains an active NPI.
What area of care is associated with DUDLEY III ROBERTS (M.D.)?
DUDLEY III ROBERTS (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DUDLEY III ROBERTS (M.D.) located near Roseville?
DUDLEY III ROBERTS (M.D.) currently maps to Roseville, Michigan in this extract.
When was this NPI issued?
Enumeration for DUDLEY III ROBERTS (M.D.) is noted as September 20, 2005 where the registry provides it.

Similar Providers

OSAMA N NUNU (MD)

Internal Medicine Physician
PO BOX 3272
NPI: 1831191170

DR. BASEM ALMASRI (M.D.)

Internal Medicine Physician
Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1326040510

KISHAN KUMAR JASTI (M.D.)

Cardiovascular Disease Physician
25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1346248135

MAJEED A PADUVANA (MD)

Internal Medicine Physician
18263, East 10 Mile Road, Roseville, Macomb County, Michigan, 48021, United States
NPI: 1649272261

JENNIFER H.F. WANG (M.D.)

Internal Medicine Physician
1949 W 12 Mile Rd Ste 100
NPI: 1962404483

BENJAMIN O OSOWA (M.D.)

Internal Medicine Physician
18263, East 10 Mile Road, Roseville, Macomb County, Michigan, 48021, United States
NPI: 1053305110

MOHAMAD S RAHBAR (M.D.)

Internal Medicine Physician
East 10 Mile Road, Eastpointe, Macomb County, Michigan, 48021, United States
NPI: 1679567762

DR. ROBERT AQUINO (DO)

Internal Medicine Physician
24901, Kelly Road, Eastpointe, Macomb County, Michigan, 48021, United States
NPI: 1780671461

Unknown Individual

Internal Medicine Physician
30550, Utica Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1336136753