NPIMap

Individual provider Active NPI

Robert Meehan, MD

  • Orthopaedic Surgery Physician
  • Detroit, MI
National Provider Identifier
1255379988
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301070950 Issued in MI
Practice address
311 Mack Ave FL 5
Detroit, MI 48201-2466
Phone
(313) 832-0500
NPI assigned
Jun 3, 2006
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301070950 MI Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 4301070950 MI

Addresses

Primary practice location

311 Mack Ave FL 5
Detroit, MI 48201-2466

Mailing address

23550 Park St
Suite 100
Dearborn, MI 48124-2592
Phone (313) 730-0500

Other practice location 1

23550 Park St
Suite 200
Dearborn, MI 48124-2592
Phone (313) 730-0500

Other identifiers 1

IdentifierTypeStateIssuer
4909872MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000659 MI Practitioner - Orthopedic Surgery 0941283725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

311 Mack Ave
FL 5
Detroit, MI 48201-2466
Phone (313) 832-0500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue12
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Physician Practices Inc CurrentSince Feb 20, 2018 Accepting new patients
Portage Physician Practices Inc Orthopaedic Surgery CurrentSince Feb 20, 2018 Accepting new patients
Michigan Orthopedic Specialists, PC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
VHS Harper-Hutzel Hospital Inc Past Accepting new patients
University Physician Group Orthopaedic Surgery PastSince Dec 11, 2019 Accepting new patients
DMC Orthopedic Billing Associates LLC Orthopaedic Surgery Past Accepting new patients

Locations

44633 Joy Rd
Ste 200
Canton, MI 48187
Phone (734) 451-9692

21031 Michigan Ave
Dearborn, MI 48124
Phone (313) 216-0332

28080 Grand River Ave
Ste 207
Farmington Hills, MI 48336
Phone (248) 471-8829

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

Interoperability endpoints

  • Direct secure messaging: rmeehan@direct.dmc.org
  • Direct secure messaging: robert.meehan.1@9704.direct.athenahealth.com
  • Direct secure messaging: robertmeehan@dllc.allscriptsdirect.net

Organizations & group practices 8

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 6

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1255379988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23550 PARK ST",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242592",
            "telephone_number": "313-730-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MACK AVE FL 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012466",
            "telephone_number": "313-832-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23550 Park St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242592",
            "country_code": "US",
            "telephone_number": "313-730-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301070950",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MI",
            "license": "4301070950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4909872",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.