Individual provider Active NPI

Carlito Robles

  • Physician Assistant
  • Clare, MI
National Provider Identifier
1023686912
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1509 N McEwan St
Clare, MI 48617-1113
Phone
(989) 386-8170
Fax
(989) 386-8175
NPI assigned
Jun 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1509 N McEwan St
Clare, MI 48617-1113

Mailing address

1509 N McEwan St
Clare, MI 48617-1113
Phone (989) 386-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816002108 MI Practitioner - Physician Assistant 5294117800 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6811

1221 S Dr Attn Cfo Administration
Mt Pleasant, MI 48858-3234

1509 N McEwan St
McLaren Central Mi Clinic
Clare, MI 48617-1113
Phone (989) 386-8170

1523 S Mission St
Mt Pleasant, MI 48858-4230
Phone (989) 773-1166

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Jan 1, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Jan 1, 2025 Accepting new patients
McLaren Central Michigan Past Accepting new patients
Amd Primary Care, PLLC PastSince Jul 21, 2015 Accepting new patients

Locations

1509 N McEwan St
Clare, MI 48617
Phone (989) 386-8170

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1023686912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171113",
            "telephone_number": "989-386-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171113",
            "telephone_number": "989-386-8170",
            "fax_number": "989-386-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "CARLITO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

Verify at the official NPI Registry.