Individual provider Active NPI

Robert Michael Flores, M.D.

  • Anesthesiology Physician
  • Clinton TWP, MI
National Provider Identifier
1275680043
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301050532 Issued in MI
Practice address
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Phone
(586) 263-2373
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301050532 MI Primary

Addresses

Primary practice location

15855 19 Mile Rd
Clinton TWP, MI 48038-3504

Mailing address

302 Touraine Rd
Grosse Pointe Farms, MI 48236-3311
Phone (313) 506-0647

Other identifiers 1

IdentifierTypeStateIssuer
2672825-10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, IN3 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071204000207 MI Practitioner - Anesthesiology 5698864312 Reassigns benefits to 2 organizations
I20171024000371 IL Practitioner - Anesthesiology 5698864312 Reassigns benefits to 6 organizations
I20210122000201 IN Practitioner - Anesthesiology 5698864312 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Jul 7, 2021 Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Aug 20, 2020 Accepting new patients
Endeavor Health Medical Group Anesthesiology Current Accepting new patients
Long Lake Anesthesiology Consultants, PLC Anesthesiology CurrentSince Feb 1, 2018 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Aug 1, 2019 Accepting new patients
New Lenox Anesthesia LLC Anesthesiology CurrentSince Jul 30, 2021 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Anesthesiology CurrentSince Oct 17, 2020 Accepting new patients
Oak Brook Anesthesiologists, LTD. Anesthesiology CurrentSince Apr 3, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. Current Accepting new patients
Swedish Covenant Management Services, Inc. Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Macomb Anesthesia, PC Anesthesiology Past Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology Past Accepting new patients

Locations

1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000

9532 Eagle Way
Chicago, IL 60678

2009 Momentum Pl
Chicago, IL 60689

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

1455 E Golf Rd
Des Plaines, IL 60016
Phone 8473907666213

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

678 Cedar Crossings Dr
New Lenox, IL 60451
Phone (708) 499-5678

2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1275680043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 TOURAINE RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363311",
            "telephone_number": "313-506-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "586-263-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301050532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2672825-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.