Active NPI
Robert J Fles Jr., MD
- Diagnostic Radiology Physician
- Muskegon, MI
National Provider Identifier
1497770770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 43010045817
- Practice address
- 1500 E Sherman Blvd
Mercy General Hospital - Radiology Department
Muskegon, MI 49444-1849 - Phone
- (231) 672-3955
- Fax
- (231) 672-6716
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 43010045817 | MI | Primary |
Addresses
Primary practice location
1500 E Sherman Blvd
Mercy General Hospital - Radiology Department
Muskegon, MI 49444-1849
Mailing address
605 W Western Ave
Radiology Muskegon PLC
Muskegon, MI 49440-1080
Phone (231) 672-3955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RF045817 | Other | MI | LICENSE |
| 1432074 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43010045817 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Imaging Consultants, PLC | Past | Accepting new patients |
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.
-
- Specialist
- Muskegon, MI
- NPI 1225132822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1497770770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W WESTERN AVE",
"address_2": "RADIOLOGY MUSKEGON PLC",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494401080",
"telephone_number": "231-672-3955",
"fax_number": "231-672-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SHERMAN BLVD",
"address_2": "MERCY GENERAL HOSPITAL - RADIOLOGY DEPARTMENT",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441849",
"telephone_number": "231-672-3955",
"fax_number": "231-672-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLES",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "43010045817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RF045817",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1432074",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.