Robert J Green, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001570 Issued in MI

Practice address

11477 E 12 Mile Rd
Warren, MI 48093-2678

Phone

(586) 751-0200

Fax

(586) 751-0414

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitality Visiting Physicians PLLCGroup PAC ID 2961870969, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitality Visiting Physicians, PLLC

  • General Practice Physician
  • Garden City, MI
  • NPI 1073230876

  Podiatrist

  Medicare reassignment Care Compare group NPD
• MVP Diagnostic Laboratory LLC

  • Clinical Medical Laboratory
  • Southfield, MI
  • NPI 1912513185
  NPD (past)
• William R. Lindow, D.M.D., P.C.

  dba Eaton Rapids Family Dentistry

  • Dental Clinic/Center
  • Eaton Rapids, MI
  • NPI 1982083762
  NPD (past)
• Comprehensive Geriatric Care, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1598945230
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093838666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11477 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932678",
            "telephone_number": "586-751-0200",
            "fax_number": "586-751-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11477 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932678",
            "telephone_number": "586-751-0200",
            "fax_number": "586-751-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Care Pharmacy LLC (Greater Care Pharmacy)
• Greathouse Enterprises LLC
• Green Bangla Homecare LLC
• Green Home Care LLC
• Dayzhane Green
• Samantha Green, DNP, AGACNP-BC
• Vickie M. Green, OTR
• Cassidy Greene, B.A.
• D'Andre Greene
• Berry Lee Greer II

• Podiatrist in Warren, MI
• Providers in Warren, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.