Active NPI
Robert G Patrus DPM PC
- Podiatric Clinic/Center
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- ROBERT G PATRUS DPM PC
- Practice address
- 26020 Harper Ave
Saint Clair Shores, MI 48081-3773 - Phone
- (586) 775-1910
- Fax
- (586) 775-8387
- NPI assigned
- Aug 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Patrus, DPM
- Title
- Doctor
- Phone
- (586) 775-1910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Primary |
Addresses
Primary practice location
26020 Harper Ave
Saint Clair Shores, MI 48081-3773
Mailing address
26020 Harper Ave
Saint Clair Shores, MI 48081-3773
Phone (586) 775-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Robert G Patrus DPM PC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
26020 Harper Ave
St Clr Shores, MI 48081
Phone (586) 775-1910
22125 Greater Mack Ave
St Clr Shores, MI 48080
Phone (586) 498-1500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Saint Clair Shores, MI
- NPI 1477582955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1164855490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26020 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813773",
"telephone_number": "586-775-1910",
"fax_number": "586-775-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26020 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813773",
"telephone_number": "586-775-1910",
"fax_number": "586-775-8387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT G PATRUS DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-09",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "PATRUS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "586-775-1910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.