Active NPI
Robert E Norris, M.D
- Sports Medicine (Family Medicine) Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 4301070997
- Practice address
- 4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5376 - Phone
- (517) 884-6100
- Fax
- (517) 884-6233
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 4301070997 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 4301070997 | MI |
Addresses
Primary practice location
4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5376
Mailing address
804 Service Rd
# A109F
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4432819 | Medicaid | MI | |
| 1184738783 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Michigan State University College of Human Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5353
Phone (517) 884-6100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Sports Medicine | Current | Accepting new patients |
| Michigan State University | Family Medicine | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976
2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050
463 E Circle Dr
Rm 102
East Lansing, MI 48824
Phone (517) 884-6546
4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100
2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520
5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870
Interoperability endpoints
- robert.norris.1@25394.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Sports Medicine (Internal Medicine) Physician
- East Lansing, MI
- NPI 1598145997
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1891747614
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
Family Medicine
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
- Student Health Clinic/Center
- East Lansing, MI
- NPI 1770646028
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1184738783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "# A109F",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 S HAGADORN RD",
"address_2": "SUITE 420",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235376",
"telephone_number": "517-884-6100",
"fax_number": "517-884-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "4301070997",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301070997",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4432819",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184738783",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.