Active NPI
Robert Patrus
- Podiatrist
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- RP001617
- Practice address
- 26020 Harper Ave
Saint Clair Shores, MI 48081-3773 - Phone
- (586) 775-1910
- Fax
- (586) 775-8387
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | RP001617 | MI | Primary |
Addresses
Primary practice location
26020 Harper Ave
Saint Clair Shores, MI 48081-3773
Mailing address
26020 Harper Ave
Saint Clair Shores, MI 48081-3773
Phone (586) 775-1910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2920950 | Medicaid | MI | |
| 485505061 | Other | MI | BLUE CROSS BLUE SHIELD |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
26020 Harper Ave
Saint Clair Shores, MI 48081-3773
Phone (586) 775-1910
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 66 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 687 |
| Removal or shaving of skin growth | 535 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP001617 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert G Patrus DPM PC | Podiatrist | Current | Accepting new patients |
Locations
3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835
22480 Kelly Rd
Ste 103
Eastpointe, MI 48021
Phone (586) 585-9119
5590 Main St
Ste 6
Lexington, MI 48450
Phone (810) 359-3937
26020 Harper Ave
St Clr Shores, MI 48081
Phone (586) 775-1910
Organizations & group practices 1
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": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1477582955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26020 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813773",
"telephone_number": "586-775-1910",
"fax_number": "586-775-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26020 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813773",
"telephone_number": "586-775-1910",
"fax_number": "586-775-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRUS",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "RP001617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2920950",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "485505061",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.