Individual provider Active NPI

Robert B Ferguson, M.D., P.C

  • Gastroenterology Physician
  • West Bloomfield, MI
National Provider Identifier
1174694673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301058431 Issued in MI
Practice address
4256 Orchard Lake Rd
West Bloomfield, MI 48323-1645
Phone
(248) 682-1720
Fax
(248) 682-9289
NPI assigned
Nov 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301058431 MI Primary

Addresses

Primary practice location

4256 Orchard Lake Rd
West Bloomfield, MI 48323-1645

Mailing address

758 Woodchester
West Bloomfield, MI 48304
Phone (248) 408-2170

Other identifiers 2

IdentifierTypeStateIssuer
124607OtherMIGREAT LAKES HEALTH PLAN
3310704MedicaidMI

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
I20040420000899 MI Practitioner - Internal MedicinePractitioner - Gastroenterology 7810982568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4256 Orchard Lake Rd
West Bloomfield, MI 48323-1645

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.99 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
76.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy184
Upper gastrointestinal (GI) endoscopy for acid reflux229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Ferguson M.D. P.C. CurrentSince Oct 19, 2012 Accepting new patients
North Oakland ASC, LLC Gastroenterology Past Accepting new patients

Locations

461 W Huron St
Pontiac, MI 48341
Phone (248) 857-7200

461 W Huron St
Ste 10
Pontiac, MI 48341
Phone (248) 857-7432

1305 N Oakland Blvd
Waterford, MI 48327
Phone (248) 666-5522

Organizations & group practices 2

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.

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174694673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 WOODCHESTER",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-408-2170",
            "fax_number": "248-723-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231645",
            "telephone_number": "248-682-1720",
            "fax_number": "248-682-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301058431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "124607",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310704",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.