Active NPI
Robert H Dickason, DO
- Colon & Rectal Surgery Physician
- Trenton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- RD006962
- Practice address
- 2674 W Jefferson Ave Ste 201
Trenton, MI 48183-2800 - Phone
- (734) 676-5353
- Fax
- (734) 676-5524
- NPI assigned
- Aug 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RD006962 | MI | |
| Colon & Rectal Surgery Physician | 208C00000X | RD006962 | MI | Primary |
Addresses
Primary practice location
2674 W Jefferson Ave Ste 201
Trenton, MI 48183-2800
Mailing address
6707 38TH Ave N
St Petersburg, FL 33710-1536
Phone (734) 676-5353
Other practice location 1
5400 Fort St Ste 210
Trenton, MI 48183-4630
Phone (734) 676-5353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2114889 | Medicaid | MI | |
| 05820096 | Other | MI | BCBS |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2674 W Jefferson Ave
Suite 201
Trenton, MI 48183-2800
Phone (734) 676-5353
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RD006962 | MI | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Kit Free LLC | Current | Accepting new patients | |
| Oakwood Group IX, LLC | Surgery | Past | Accepting new patients |
Locations
6707 38th Ave N
St Petersburg, FL 33710
Phone (727) 800-9958
5400 Fort St
Ste 210
Trenton, MI 48183
Phone (734) 676-5353
Interoperability endpoints
- rhdickason@rhddopc-mi.direct.office.nextgen.com
Organizations & group practices 3
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.
-
- Surgery Physician
- Trenton, MI
- NPI 1689952061
-
- Public Health or Welfare Agency
- Trenton, MI
- NPI 1114627635
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital - Taylor
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
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": "1749427200000",
"number": "1710979869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101536",
"telephone_number": "734-676-5353",
"fax_number": "734-676-5524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2674 W JEFFERSON AVE STE 201",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832800",
"telephone_number": "734-676-5353",
"fax_number": "734-676-5524"
}
],
"practiceLocations": [
{
"address_1": "5400 Fort St Ste 210",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "MI",
"postal_code": "481834630",
"country_code": "US",
"telephone_number": "734-676-5353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKASON",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "RD006962",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "RD006962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2114889",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05820096",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.