Active NPI
John P Robinson, MD
- Student in an Organized Health Care Education/Training Program
- Grand Rapids, MI
National Provider Identifier
1730427659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537 - Phone
- (616) 459-7258
- Fax
- (616) 459-5215
- NPI assigned
- Jan 28, 2013
- Reactivated
- Jun 16, 2018
- Last updated
- Jun 25, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301115694 | MI | |
| Physician Assistant | 363A00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537
Mailing address
221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537
Phone (616) 459-7258
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 |
|---|---|---|---|---|
| I20250620002912 | MI | Order and Referring Only - Thoracic Surgery | 3678085180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301115694 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1730427659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MICHIGAN ST NE STE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032537",
"telephone_number": "616-459-7258",
"fax_number": "616-459-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MICHIGAN ST NE STE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032537",
"telephone_number": "616-459-7258",
"fax_number": "616-459-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2025-06-25",
"certification_date": "2025-06-24",
"deactivation_date": "2018-06-07",
"reactivation_date": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301115694",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.