Individual provider Active NPI

Cynane Robinson, D.O

  • Emergency Medicine Physician
  • Southfield, MI
National Provider Identifier
1417029364
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101011774 Issued in MI
Practice address
16250 Northland Dr
Suite 312
Southfield, MI 48075-5228
Phone
(248) 336-2850
Fax
(248) 336-2852
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101011774 MI Primary

Addresses

Primary practice location

16250 Northland Dr
Suite 312
Southfield, MI 48075-5228

Mailing address

16250 Northland Dr
Suite 312
Southfield, MI 48075-5228
Phone (248) 336-2850

Other identifiers 2

IdentifierTypeStateIssuer
4091433 11MedicaidMI
015820589OtherMIBCBSM PROVIDER NUMBER

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
I20050606000163 MI Practitioner - Family PracticePractitioner - Emergency Medicine 0143263731 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Health Center PC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

16250 Northland Dr
Ste 246
Southfield, MI 48075
Phone (248) 318-8393

16250 Northland Dr
Ste 312
Southfield, MI 48075
Phone (248) 336-2850

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1417029364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "address_2": "SUITE 312",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755228",
            "telephone_number": "248-336-2850",
            "fax_number": "248-336-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "address_2": "SUITE 312",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755228",
            "telephone_number": "248-336-2850",
            "fax_number": "248-336-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CYNANE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4091433 11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER NUMBER",
            "identifier": "015820589",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.