Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Cody Gray Roberts, MD

Individual provider Anesthesiology Physician · NPI 1962022582

Dr. Cody Gray Roberts, MD is an Anesthesiology in Plymouth, Minnesota. Graduated from Virginia Tech Carilion School of Medicine in 2019, 7 years ago. Practices with Metropolitan Anesthesia Network LLP, a 519-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Trained at
Virginia Tech Carilion School of Medicine
Licensed in
MN
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (763) 559-3779
Fax: (763) 450-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 76139 (MN)

Record details

NPI number1962022582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2020
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing addressPo Box 47159, Plymouth, MN 55447-0159

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolVIRGINIA TECH CARILION SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Metropolitan Anesthesia Network Llp — 519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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