SAMUEL J. ROBERTS DO – NPI #1831775220
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

SAMUEL ROBERTS is a physician located in PORTLAND, OR. NPPES has assigned the NPI number 1831775220 to SAMUEL ROBERTS on March 24, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Nov 26, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL ROBERTS below.

NPI Profile for
SAMUEL J. ROBERTS

NPI Number
1831775220
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL J. ROBERTS
Credentials
DO
Primary location
3270 SW PAVILION LOOP
STE 320
PORTLAND, OR 97239
Phone: (503) 494-3442 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
OR PG226441

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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