Active NPI
Robert Charles Urbanic, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Plymouth, MI
National Provider Identifier
1104832005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- RU 040776
- Practice address
- 990 W Ann Arbor TRL
Suite 100
Plymouth, MI 48170-6204 - Phone
- (734) 455-4200
- Fax
- (734) 455-0035
- NPI assigned
- Jul 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | RU 040776 | MI | Primary |
Addresses
Primary practice location
990 W Ann Arbor TRL
Suite 100
Plymouth, MI 48170-6204
Mailing address
990 W Ann Arbor TRL
Suite 100
Plymouth, MI 48170-6204
Phone (734) 455-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108224181 | Other | MI | BCBS INS. |
| 103717 | Other | CARE CHOICES INSURANCE | |
| 1619494 | Medicaid | MI | |
| 103717SP | Other | SPECIALIST CARE CHOICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RU 040776 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1104832005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 W ANN ARBOR TRL",
"address_2": "SUITE 100",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706204",
"telephone_number": "734-455-4200",
"fax_number": "734-455-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 W ANN ARBOR TRL",
"address_2": "SUITE 100",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706204",
"telephone_number": "734-455-4200",
"fax_number": "734-455-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANIC",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "RU 040776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INS.",
"identifier": "1108224181",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES INSURANCE",
"identifier": "103717",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619494",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALIST CARE CHOICES",
"identifier": "103717SP",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.