MEDICARE: DARIAN LEIGH ROBERTS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	36033	WV
2	207Q00000X	Family Medicine Physician	35.142848	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649774449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIAN LEIGH ROBERTS MD

Provider Business Mailing Address
First Line	:	PO BOX 779
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26507-0779
Country	:	US
Telephone Number	:	304-797-6200
Fax Number	:	304-797-6306

Provider Business Practice Location Address
First Line	:	1006 COMMERCE ST
Second Line	:
City	:	WELLSBURG
State	:	WV
Zip	:	26070-1567
Country	:	US
Telephone Number	:	304-737-0321
Fax Number	:	304-737-2979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2018
Last Update Date	:	05/22/2026

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