Robert Durffee Albertson III, MD
Individual provider Active NPI Pulmonary Disease Physician · Jackson, MI
NPI 1487610481 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1487610481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 4301046296 (MI)
- Practice address
- 900 E Michigan Ave
Ste 105
Jackson, MI 49201-2490 - Phone
- (517) 782-3190
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040306000189 | MI | Practitioner - Pulmonary Disease |
8224926795 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsdale Community Health Center | Pulmonary Disease | Current |
Accepting new patients |
| Wa Foote Memorial Hospital, Inc | Pulmonary Disease | Current |
Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Pulmonary Clinics of Southern Michigan | Critical Care Medicine | Current |
Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Pulmonary Disease | Current |
Accepting new patients |
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients |
Locations
451 Hidden Meadows Dr
Ste 230
Hillsdale, MI 49242
Phone (517) 437-2637
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
900 E Michigan Ave
Ste 1
Jackson, MI 49201
Phone (517) 788-7866
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
900 E Michigan Ave
Ste 105
Jackson, MI 49201
Phone (517) 782-3190
110 N Elm Ave
Jackson, MI 49202
Phone (517) 787-1440
Interoperability endpoints
- ralbertson451617@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301046296 | MI | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 4301046296 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 4301046296 | MI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290007970 | Other | MI | RR MEDICARE |
| 103112682 | Medicaid | MI |
Other providers in Jackson, MI
- Warda Z Alam
- Chidamber Bharath Alamelumangapuram
- Zakia Iqbal Alavi
- Zaineb Burhan Albachachy
- Katherine Mary Albertson
- Heather Albrecht
- Ronda Kay Albrecht
- Gay Alcenius
- Douglas Aldridge
- Annalee Alexander
All providers in Jackson, MI · Pulmonary Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.