Individual provider Active NPI

Robert C Seski, MD

  • Internal Medicine Physician
  • Lincoln Park, MI
National Provider Identifier
1457301335
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301407014 Issued in MI
Practice address
26400 Outer Dr
Lincoln Park, MI 48146-2088
Phone
(313) 594-6000
NPI assigned
May 11, 2006
Last updated
Oct 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301407014 MI Primary

Addresses

Primary practice location

26400 Outer Dr
Lincoln Park, MI 48146-2088

Mailing address

198 S Main St
Suite 3
Mount Clemens, MI 48043-7917
Phone (586) 465-2879

Other identifiers 1

IdentifierTypeStateIssuer
4251662MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301407014MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Solutions PC Internal Medicine PastSince Oct 25, 2000 Accepting new patients
Chest Medicine of New Mexico, PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1457301335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437917",
            "telephone_number": "586-465-2879",
            "fax_number": "586-465-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462088",
            "telephone_number": "313-594-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESKI",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301407014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4251662",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.