Individual provider Active NPI

Richard Taylor Robinson, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1720128150
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301041368 Issued in MI
Practice address
4777 E Outer Dr
Detroit, MI 48234-3241
Phone
(313) 369-5700
Fax
(313) 369-5755
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301041368 MI Primary

Addresses

Primary practice location

4777 E Outer Dr
Detroit, MI 48234-3241

Mailing address

1236 Creek View Dr
Rochester, MI 48307-1700
Phone (810) 785-4930

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
I20050411000137 MI Practitioner - Internal MedicinePractitioner - Addiction Medicine 4486691722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Wayne State University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3169 W Pierson Rd
Flint, MI 48504-6805
Phone (810) 785-4930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301041368MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Unlimited Treatment Center, Inc CurrentSince Jan 8, 2001 Accepting new patients

Locations

3169 W Pierson Rd
Flint, MI 48504
Phone (810) 785-4930

18601 Mack Ave
Grosse Pointe, MI 48236
Phone (313) 640-1250

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1720128150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 CREEK VIEW DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071700",
            "telephone_number": "810-785-4930",
            "fax_number": "810-341-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343241",
            "telephone_number": "313-369-5700",
            "fax_number": "313-369-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "RICHARD",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301041368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.