Active NPI
Robert M Doane, M.D.
- Orthopaedic Surgery Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301063377
- Practice address
- 956 Cooper St
Jackson, MI 49202-1847 - Phone
- (517) 787-3900
- Fax
- (517) 787-4318
- NPI assigned
- Aug 16, 2005
- Reactivated
- Apr 27, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301063377 | MI | Primary |
Addresses
Primary practice location
956 Cooper St
Jackson, MI 49202-1847
Mailing address
956 Cooper St
Jackson, MI 49202-1847
Phone (517) 787-3900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09200000 | Other | MI | PHYSICIANS HEALTH PLAN |
| P104949 | Other | MI | BLUE CARE NETWORK |
| 4179720001 | Other | MI | MEDICARE DMERC |
| 7573234 | Other | MI | AETNA |
| 430789310 | Medicaid | MI | |
| 2003802132 | Other | MI | BLUE CROSS BLUE SHIELD MI |
Other names 1
- Dr. Robert M Doane
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080320000678 | MI | Practitioner - Orthopedic Surgery | 8921184656 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wayne State University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Portage Physician Practices Inc
Practice addresses (Care Compare)
500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1060
875 Laurence Ave
Jackson, MI 49202-2966
Phone (517) 787-3900
Hospital & facility affiliations
- Elara Caring
- Henry Ford Allegiance Health
- Eaton Rapids Medical Center
- Up Health System Portage
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portage Physician Practices Inc | Current | Accepting new patients | |
| Portage Physician Practices Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Robert M Doane MD PC | Specialist | Current | Accepting new patients |
| Dobbs Eye Clinic, Inc. | Past | Accepting new patients | |
| Portage Hospital LLC | Past | Accepting new patients | |
| Wyman Dobbs Optometry PLLC | Past | Accepting new patients |
Locations
500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000
500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700
956 Cooper St
Jackson, MI 49202
Phone (517) 787-3900
875 Laurence Ave
Jackson, MI 49202
Phone (517) 787-0544
1701 Lake Lansing Rd
Ste 1
Lansing, MI 48912
Interoperability endpoints
- robert.doane.1@8233.direct.athenahealth.com
- rdoane462877@direct.hfhs.org
- robert.doan@613.chartlogic.direct-ci.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Hancock, MI
- NPI 1225461684
MI, Orthopaedic Surgery
-
- Rural Health Clinic/Center
- Calumet, MI
- NPI 1164106910
-
- Rural Health Clinic/Center
- Houghton, MI
- NPI 1376229419
-
- Medicare Defined Swing Bed Hospital Unit
- Hancock, MI
- NPI 1821425612
-
- Optometrist
- Sallisaw, OK
- NPI 1437245750
-
- Optometrist
- Sallisaw, OK
- NPI 1326352998
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1578555751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 COOPER ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492021847",
"telephone_number": "517-787-3900",
"fax_number": "517-787-4318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 COOPER ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492021847",
"telephone_number": "517-787-3900",
"fax_number": "517-787-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOANE",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2019-08-30",
"deactivation_date": "2006-04-10",
"reactivation_date": "2006-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301063377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "09200000",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P104949",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "4179720001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7573234",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "430789310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "2003802132",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "DOANE",
"middle_name": "M",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.