Individual provider Active NPI

Robin M Moherek, MD

  • Obstetrics & Gynecology Physician
  • Clawson, MI
National Provider Identifier
1386724524
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301067326 Issued in MI
Practice address
555 W 14 Mile Rd
Suite 205
Clawson, MI 48017-3100
Phone
(248) 288-3622
Fax
(248) 288-3625
NPI assigned
Oct 16, 2006
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301067326 MI Primary

Addresses

Primary practice location

555 W 14 Mile Rd
Suite 205
Clawson, MI 48017-3100

Mailing address

555 W 14 Mile Rd
Suite 205
Clawson, MI 48017-3100
Phone (248) 288-3622

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000989 MI Practitioner - Obstetrics/Gynecology 5193746873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 W 14 Mile Rd
Suite 205
Clawson, MI 48017-3100
Phone (248) 288-3622

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robin M Moherek MD PC Obstetrics & Gynecology CurrentSince Jan 26, 2007 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Northpointe OB-GYN PC Obstetrics & Gynecology PastSince Oct 1, 2000 Accepting new patients

Locations

555 W 14 Mile Rd
Ste 205
Clawson, MI 48017
Phone (248) 288-3622

Interoperability endpoints

  • Direct secure messaging: rmoherek1247362@epic00.shdirect.org

Organizations & group practices 3

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 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1386724524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD",
            "address_2": "SUITE 205",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-288-3622",
            "fax_number": "248-288-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD",
            "address_2": "SUITE 205",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-288-3622",
            "fax_number": "248-288-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEREK",
        "first_name": "ROBIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301067326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

Verify at the official NPI Registry.