Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Keith Wesley Roberts, PA-C

Individual provider Physician Assistant · NPI 1811385776

Mr. Keith Wesley Roberts, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2014, 12 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
12
Licensed in
NC, NJ
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6478
Phone: (919) 787-5380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001006432 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00362300 (NJ)

Record details

NPI number1811385776
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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