Active NPI
Michael Anthony Robinson, D.P.M.
- Foot Surgery Podiatrist
- Natick, MA
National Provider Identifier
1023051653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PD1511
- Practice address
- 67 Union St Ste 310
Natick, MA 01760-7700 - Phone
- (617) 277-2662
- Fax
- (617) 734-9733
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PD1511 | MA | |
| Sports Medicine Podiatrist | 213ES0000X | PD1511 | MA | |
| Foot Surgery Podiatrist | 213ES0131X | PD1511 | MA | Primary |
Addresses
Primary practice location
67 Union St Ste 310
Natick, MA 01760-7700
Mailing address
67 Union St Ste 310
Natick, MA 01760-7700
Phone (617) 277-2662
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001511 | Other | MA | TUFTS |
| 0023972 | Other | MA | AETNA |
| Y70618 | Other | MA | BCBS |
| 0338214 | Medicaid | MA | |
| 2700239 | Other | MA | UNITED HEALTHCARE |
| 33431 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060410000516 | MA | Practitioner - Podiatry | 0840209441 | Practice locations: Natick, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD1511 | MA | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Podiatry Resource, Inc | Current | Accepting new patients | |
| Sports Podiatry Resource Inc | Current | Accepting new patients |
Locations
67 Union St
Ste 310
Natick, MA 01760
Phone (508) 653-4820
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Natick, MA
- NPI 1467677468
-
- Foot & Ankle Surgery Podiatrist
- Natick, MA
- NPI 1720433576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1023051653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 UNION ST STE 310",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "617-277-2662",
"fax_number": "617-734-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 UNION ST STE 310",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "617-277-2662",
"fax_number": "617-734-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MA",
"license": "PD1511",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "MA",
"license": "PD1511",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MA",
"license": "PD1511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "001511",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0023972",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y70618",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0338214",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2700239",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "33431",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.