Individual provider Active NPI

Robert M Doane, M.D.

  • Orthopaedic Surgery Physician
  • Jackson, MI
National Provider Identifier
1578555751
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301063377 Issued in MI
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

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09200000OtherMIPHYSICIANS HEALTH PLAN
P104949OtherMIBLUE CARE NETWORK
4179720001OtherMIMEDICARE DMERC
7573234OtherMIAETNA
430789310MedicaidMI
2003802132OtherMIBLUE CROSS BLUE SHIELD MI

Other names 1

  • Dr. Robert M Doane Professional name

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
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 56 clinicians

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 Home health agency, Jackson, MI, CCN 237274
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
  • Up Health System Portage Hospital, Hancock, MI, CCN 230108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
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

OrganizationSpecialtyStatusNew patients
Portage Physician Practices Inc CurrentSince Mar 1, 2024 Accepting new patients
Portage Physician Practices Inc Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Robert M Doane MD PC Specialist CurrentSince Jul 1, 2001 Accepting new patients
Dobbs Eye Clinic, Inc. Past Accepting new patients
Portage Hospital LLC Past Accepting new patients
Wyman Dobbs Optometry PLLC PastSince Sep 1, 2010 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

  • Direct secure messaging: robert.doane.1@8233.direct.athenahealth.com
  • Direct secure messaging: rdoane462877@direct.hfhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.