Individual
DR. ANDREW P. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(844) 565-8144
Mailing address
15719 CHILKAT TRL, HUNTERTOWN, IN 46748-9220
(260) 223-5611
(844) 565-8144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070597A
IN
208M00000X
Hospitalist Physician
01070597A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001012413
ANTHEM PROVIDER NUMBER
IN
05
—
201248640
—
IN
01
—
P01824544
RR PTAN
IN
Enumeration date
05/13/2010
Last updated
05/07/2025
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