Phillip Lorane Robinson, MD

Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Grand Blanc, MI

NPI 1366424392 · NPPES record last updated Jul 31, 2024

Key facts

NPI
1366424392
Entity type
Individual (NPI type 1)
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License
4301053205 (MI)
Practice address
1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065
Phone
(248) 849-2600
Fax
(248) 849-2610
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 21

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Thoracic Surgery
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Practice Partners Inc (37 clinicians)
Henry Ford Health Providence Hospital (364 clinicians)

Practice addresses (Care Compare)

1 Genesys Pkwy
Suite 3452
Grand Blanc, MI 48439-8065
Phone (810) 606-7550

1400 Genesys Pkwy
B136
Grand Blanc, MI 48439-8068
Phone (810) 606-7629

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital · Grand Blanc, MI · CCN 230197
  • Henry Ford Health St John Hospital Hospital · Detroit, MI · CCN 230165
  • Ascension Providence Hospital, Southfield and Novi Hospital · Southfield, MI · CCN 230019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040714001269 MI Practitioner - Thoracic Surgery
Practitioner - Cardiac Surgery
1658359906 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301053205MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Current
since Jan 17, 2022
Accepting new patients
Ascension Medical Group Promed Surgery Current Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Genesys Practice Partners, Inc Current
since Feb 1, 2022
Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Current
since Jan 17, 2022
Accepting new patients
Mymichigan Medical Center Saginaw Thoracic Surgery (Cardiothoracic Vascular Surgery) Current
since Feb 1, 2022
Accepting new patients
Ascension Medical Group Promed Current
since Mar 24, 2023
Accepting new patients
Genesys Practice Partners Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Current
since Feb 1, 2022
Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Promed Healthcare Current
since Mar 24, 2023
Accepting new patients
Henry Ford Health Providence Hospital Surgery Current
since Jan 17, 2022
Accepting new patients
Mymichigan Medical Center Saginaw Current
since Feb 1, 2022
Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Surgery Current
since Jan 17, 2022
Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Genesys Practice Partners Inc Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

3399 Pollock Rd
Grand Blanc, MI 48439
Phone (810) 603-0170

1 Genesys Pkwy
Ste 4620
Grand Blanc, MI 48439
Phone (810) 606-1460

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

1815 Henson Ave
Kalamazoo, MI 49048
Phone (269) 492-6502

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

26850 Providence Pkwy
Ste 470
Novi, MI 48374
Phone (248) 319-3000

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

1015 S Washington Ave
Fl 1
Saginaw, MI 48601
Phone 98975430004332

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080

Interoperability endpoints

  • Direct secure messaging: probinson1149349@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301053205 MI Yes

Addresses

Primary practice location

1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065

Mailing address

1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065
Phone (248) 849-2600

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-0123

Other practice location 2

1663 W Big Beaver Rd
Troy, MI 48084-3501
Phone (248) 643-8633

Other practice location 3

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Other practice location 4

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-8193

Other identifiers

IdentifierTypeStateIssuer
4631993MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2024.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1366424392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY STE 3452",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "248-849-2600",
            "fax_number": "248-849-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY STE 3452",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "248-849-2600",
            "fax_number": "248-849-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1663 W Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843501",
            "country_code": "US",
            "telephone_number": "248-643-8633",
            "fax_number": "248-643-8680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PHILLIP",
        "middle_name": "LORANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301053205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4631993",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

All providers in Grand Blanc, MI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

Sources for this page

Verify at the official NPI Registry.