HEATHER J ROBERTS MD
NPI 1629171624
Dermatology in Los Angeles, CA
NPI Status: Active since September 06, 2006
Contact Information
11600 WILSHIRE BLVD
#408
LOS ANGELES, CA
ZIP 90025
Phone: (310) 477-4727
Fax: (310) 477-2001
- Individual
- Female
- Dermatology
- PECOS Enrolled
- Opted-Out Medicare
- CLIA Number: 05D0984018
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-30-2027
About HEATHER ROBERTS
This page provides the complete NPI Profile along with additional information for Heather Roberts, a provider established in Los Angeles, California with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1629171624 assigned on September 2006. The practitioner's primary taxonomy code is 207N00000X with license number G71960 (CA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1629171624
- Provider Name
- HEATHER J ROBERTS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11600 WILSHIRE BLVD #408 LOS ANGELES, CA 90025
- Location Phone
- (310) 477-4727
- Location Fax
- (310) 477-2001
- Mailing Address
- 11600 WILSHIRE BLVD #408 LOS ANGELES, CA 90025
- Mailing Phone
- (310) 477-4727
- Mailing Fax
- (310) 477-2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-06-2006
- Last Update Date
- 01-11-2011
- Code Navigator
A dermatologist like Heather Roberts is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Heather Roberts opted out of Medicare effective on 01-01-2015 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G71960
- License State
- CA
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F35502 | MEDICARE UPIN (02) | ||
| G71960A | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
Medicare Participation & PECOS Enrollment Status
Heather Roberts is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2015
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 90025 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.36
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $24.09
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $19.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0984018
- Facility Type
- Physician Office
- Certificate Effective Date
- May 01, 2025
- Certificate Expiration Date
- April 30, 2027
- Laboratory Director
- HEATHER J. ROBERTS MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Heather Roberts in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 1 | 7 | 1 | 6 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 2 | 7 | 2 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 2 + 7 + 2 + 6 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1629171624 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912907551 | DR. RANDALL ARTHUR GORDON D.M.D. Individual | Dentist (General Practice) | 11600 WILSHIRE BLVD SUITE 318 LOS ANGELES, CA 90025 (310) 473-6060 |
| 1992788426 | DR. GERALD HUNTER MARKOVITZ M.D. Individual | Specialist | 11600 WILSHIRE BLVD SUITE 512 LOS ANGELES, CA 90025 (310) 473-5067 |
| 1942254545 | MONICA ANDRIACCHI AUD Individual | Audiologist | 11600 WILSHIRE BLVD SUITE 114 LOS ANGELES, CA 90025 (310) 477-1519 |
| 1144277690 | LAURA CECILE ACKERMAN Individual | Audiologist-Hearing Aid Fitter | 11600 WILSHIRE BLVD STE 114 LOS ANGELES, CA 90025 (310) 477-1519 |
| 1760405658 | SUSIE GOODRIDGE P.T. Individual | Physical Therapist | 11600 WILSHIRE BLVD LL14 LOS ANGELES, CA 90025 (310) 996-0085 |
| 1952312696 | DR. RICHARD N. STANMAN DDS Individual | Dentist | 11600 WILSHIRE BLVD SUITE 308 LOS ANGELES, CA 90025 (310) 473-8770 |
| 1659384261 | MRS. JOAN ELAINE SCHMIDT P.T. Individual | Physical Therapist | 11600 WILSHIRE BLVD STE LL-14 LOS ANGELES, CA 90025 (310) 996-0085 |
| 1962515338 | ALL BACK & JOINT CARE MEDICAL GROUP Organization | Chiropractor (Internist) | 11600 WILSHIRE BLVD SUITE 412 LOS ANGELES, CA 90025 (310) 473-2911 |
| 1386741957 | DR. ROXANA R. SAYAH DDS Individual | Dentist (General Practice) | 11600 WILSHIRE BLVD SUITE 300 LOS ANGELES, CA 90025 (310) 444-9940 |
| 1417055096 | SONUS-USA, INC. Organization | Audiologist-Hearing Aid Fitter | 11600 WILSHIRE BLVD SUITE 114 LOS ANGELES, CA 90025 (310) 477-1519 |
| 1477644185 | MRS. ALEXANDRA DIVINSKY NP Individual | Registered Nurse (Neuroscience) | 11600 WILSHIRE BLVD SUITE 420 LOS ANGELES, CA 90025 (310) 477-7201 |
| 1891887287 | DR. FARHAD MOTAMEDI M.D Individual | Urology | 11600 WILSHIRE BLVD SUITE 508 LOS ANGELES, CA 90025 (310) 575-9995 |
| 1518056977 | MOTAMEDI & MODARRESI A PROFESSIONAL CORPORATION Organization | Urology | 11600 WILSHIRE BLVD SUITE 508 LOS ANGELES, CA 90025 (316) 575-9995 |
| 1477625747 | MRS. MARGARET ELLEN OLSEN KOHNER MD Individual | Dermatology | 11600 WILSHIRE BLVD SUITE 406 LOS ANGELES, CA 90025 (310) 473-0911 |
| 1346313335 | DR. ANN R MEYER MD Individual | Physical Medicine & Rehabilitation | 11600 WILSHIRE BLVD #412 LOS ANGELES, CA 90025 (310) 473-5151 |
| 1457412231 | JESSICA P. WU M.D. Individual | Dermatology | 11600 WILSHIRE BLVD SUITE 322 LOS ANGELES, CA 90025 (310) 473-5878 |
| 1053451609 | JASON CHAO PING CHEN PT, DPT Individual | Physical Therapist | 11600 WILSHIRE BLVD 222 LOS ANGELES, CA 90025 (310) 477-8622 |
| 1790825073 | DR. JOSEPH MARK THOMPSON M.D. Individual | Psychiatry & Neurology (Psychiatry) | 11600 WILSHIRE BLVD SUITE 500 LOS ANGELES, CA 90025 (310) 826-2881 |
| 1518008598 | DR. CANDACE COTLOVE MD Individual | Psychiatry & Neurology (Psychiatry) | 11600 WILSHIRE BLVD SUITE 500 LOS ANGELES, CA 90025 (310) 312-2500 |
| 1851436869 | DR. KATHLEEN LYNN CLEMANS D.D.S. Individual | Dentist (General Practice) | 11600 WILSHIRE BLVD SUITE 426 LOS ANGELES, CA 90025 (310) 479-1717 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629171624, enumerated in the NPI registry as an "individual" on September 06, 2006
The provider is located at 11600 Wilshire Blvd #408 Los Angeles, Ca 90025 and the phone number is (310) 477-4727
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
The provider's CLIA number is 05D0984018 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
No, the provider signed an affidavit on January 01, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on September 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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