Individual provider Active NPI

Robert Durffee Albertson III, MD

  • Pulmonary Disease Physician
  • Jackson, MI
National Provider Identifier
1487610481
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301046296 Issued in MI
Practice address
900 E Michigan Ave
Ste 105
Jackson, MI 49201-2490
Phone
(517) 782-3190
NPI assigned
Apr 26, 2006
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301046296 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301046296 MI
Pulmonary Disease Physician 207RP1001X 4301046296 MI Primary

Addresses

Primary practice location

900 E Michigan Ave
Ste 105
Jackson, MI 49201-2490

Mailing address

900 E Michigan Ave
Ste 105
Jackson, MI 49201-2490
Phone (517) 782-3190

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
I20040306000189 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 8224926795 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital Pulmonary Disease CurrentSince Jun 1, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc Current Accepting new patients
Hillsdale Community Health Center Pulmonary Disease CurrentSince Jun 26, 2019 Accepting new patients
W. a. Foote Memorial Hospital Current Accepting new patients
W.a. Foote Memorial Hospital Pulmonary Disease CurrentSince May 15, 2002 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Pulmonary Clinics of Southern Michigan Critical Care Medicine CurrentSince Apr 15, 1987 Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

451 Hidden Meadows Dr
Ste 230
Hillsdale, MI 49242
Phone (517) 437-2637

110 N Elm Ave
Jackson, MI 49202
Phone (517) 787-1440

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

900 E Michigan Ave
Ste 1
Jackson, MI 49201
Phone (517) 788-7866

900 E Michigan Ave
Ste 105
Jackson, MI 49201
Phone (517) 782-3190

Interoperability endpoints

  • Direct secure messaging: ralbertson451617@direct.hfhs.org

Organizations & group practices 7

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1487610481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE",
            "address_2": "STE 105",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-782-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE",
            "address_2": "STE 105",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-782-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON",
        "first_name": "ROBERT",
        "middle_name": "DURFFEE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301046296",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301046296",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301046296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.