Individual provider Active NPI

Robert I Lubin, D.P.M.

  • Podiatrist
  • Canton, MI
National Provider Identifier
1215027420
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
RL000759 Issued in MI
Practice address
8552 N Canton Center Rd
Canton, MI 48187-1310
Phone
(248) 819-0249
Fax
(248) 489-0545
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X RL000759 MI Primary

Addresses

Primary practice location

8552 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

PO Box 3299
Farmington Hills, MI 48333-3299
Phone (248) 819-0249

Other identifiers 1

IdentifierTypeStateIssuer
4939521MedicaidMI

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: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RL000759MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Clinic P.C. Past Accepting new patients
Elder Foot Care, PC Podiatrist Past Accepting new patients
Robert I. Lubin, D.P.M., P. L.L.C Podiatrist PastSince Jul 17, 2022 Accepting new patients
Universal Clinic P.C. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1215027420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483333299",
            "telephone_number": "248-819-0249",
            "fax_number": "248-489-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "248-819-0249",
            "fax_number": "248-489-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "RL000759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4939521",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.