ROBERTS STREET CLINIC, P.C.
ROBERTS STREET CLINIC, P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003024423, based in Gresham, OR. The organization lists 2 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 400 NE ROBERTS AVE, Gresham, OR 97030. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DO18839 | OR | Family Medicine Physician primary |
| DO15150 | OR | Family Medicine Physician |
| DO21884 | OR | Family Medicine Physician |
| MD17149 | OR | Internal Medicine Physician |
This provider holds licence DO18839 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5991787426
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | DO18839 | OR | primary |
| 207Q00000X | Family Medicine Physician | DO15150 | OR | |
| 207Q00000X | Family Medicine Physician | DO21884 | OR | |
| 207R00000X | Internal Medicine Physician | MD17149 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003024423 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 18, 2007 |
| Last updated | Oct 10, 2007 |
| Status | Active |
| Practice address |
400 NE ROBERTS AVE Gresham, OR 97030 (503) 669-3066 Fax (503) 665-6404 |
| Other identifiers |
205823
(OR) 287658 (OR) 029582 (OR) 079546 (OR) 287698 (OR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 2 | 4 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 2 | 8 | 4 | 4 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.