NPIMap

Individual provider Active NPI

Robert C Kiser, DO

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1720080351
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012110 Issued in MI
Practice address
2520 Robert Jones Way
Kalamazoo, MI 49009-1904
Phone
(269) 375-0400
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101012110 MI
Public Health & General Preventive Medicine Physician 2083P0901X 5101012110 MI
Family Medicine Physician 207Q00000X 5101012110 MI Primary

Addresses

Primary practice location

2520 Robert Jones Way
Kalamazoo, MI 49009-1904

Mailing address

2520 Robert Jones Way
Kalamazoo, MI 49009-1904
Phone (269) 375-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000319 MI Practitioner - General PracticePractitioner - Family PracticePractitioner - Preventive Medicine 7113813742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Michigan State University College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

6565 W Main St
Kalamazoo, MI 49009-6114
Phone (269) 381-7380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101012110MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Kalamazoo Inc CurrentSince Jun 13, 2022 Accepting new patients
Promed Healthcare CurrentSince Jun 25, 2018 Accepting new patients
Ascension Borgess Hospital CurrentSince Jun 13, 2022 Accepting new patients
Beacon Medical Group Michigan Inc Family Medicine CurrentSince Jun 25, 2018 Accepting new patients
Decatur Vein Clinic, Michigan, PC Past Accepting new patients
Center for Vein Restoration Mi PLLC Past Accepting new patients

Locations

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

2520 Robert Jones Way
Kalamazoo, MI 49009
Phone (269) 375-0400

6565 W Main St
Ste 200
Kalamazoo, MI 49009
Phone (616) 372-2860

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

3810 W Centre Ave
Ste A
Portage, MI 49024

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: robert.kiser.p3@direct.cvr.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1720080351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ROBERT JONES WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091904",
            "telephone_number": "269-375-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ROBERT JONES WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091904",
            "telephone_number": "269-375-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101012110",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "5101012110",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.