Individual provider Active NPI

Robert Francis Root, D.O.

  • Pediatrics Physician
  • Lansing, MI
National Provider Identifier
1043472665
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101017720 Issued in MI
Practice address
13750 S Sedona Pkwy Ste 2
Lansing, MI 48906-8101
Phone
(517) 353-4000
Fax
(844) 722-4112
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101017720 MI Primary

Addresses

Primary practice location

13750 S Sedona Pkwy Ste 2
Lansing, MI 48906-8101

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-4000

Other practice location 1

1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394
Phone (517) 349-6560

Other practice location 2

7335 Westshire Dr
#102
Lansing, MI 48917-9703
Phone (517) 622-1012

Other practice location 3

5303 S Cedar St
Lansing, MI 48911-3800
Phone (517) 887-4305

Other identifiers 1

IdentifierTypeStateIssuer
1043472665MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000244 MI Practitioner - Pediatric Medicine 2163600214 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017720MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University CurrentSince Jul 1, 2011 Accepting new patients
Michigan State University Pediatrics CurrentSince Jul 1, 2011 Accepting new patients
Michigan State University Current Accepting new patients

Locations

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

7335 Westshire Dr
Ste 102
Lansing, MI 48917
Phone (517) 622-1012

13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: robert.root.1@25394.direct.athenahealth.com
  • Direct secure messaging: robert.root.p1@direct.ichd.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1043472665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 S SEDONA PKWY STE 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489068101",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Grand River Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488642394",
            "country_code": "US",
            "telephone_number": "517-349-6560",
            "fax_number": "517-349-5796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7335 Westshire Dr",
            "address_2": "#102",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489179703",
            "country_code": "US",
            "telephone_number": "517-622-1012",
            "fax_number": "517-622-1036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5303 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113800",
            "country_code": "US",
            "telephone_number": "517-887-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOT",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101017720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043472665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.