Individual provider Active NPI

Kevin C Robinson, DO

  • Diagnostic Radiology Physician
  • East Lansing, MI
National Provider Identifier
1750339388
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101012579 Issued in MI
Practice address
804 Service Road
Room A204
East Lansing, MI 48824-7037
Phone
(517) 353-4920
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101012579 MI Primary

Addresses

Primary practice location

804 Service Road
Room A204
East Lansing, MI 48824-7037

Mailing address

804 Service Road
Room A204
East Lansing, MI 48824-7037
Phone (517) 353-4920

Other identifiers 1

IdentifierTypeStateIssuer
1750339388MedicaidMI

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
I20060424000284 MI Practitioner - Diagnostic Radiology 2567472442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

535 Chestnut Rd
N15
East Lansing, MI 48824-3409
Phone (517) 884-3923

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012579MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Pathologists, PC Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Bamf Health Inc CurrentSince Aug 24, 2022 Accepting new patients
W. a. Foote Memorial Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University Current Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Msu Health Care Inc. Diagnostic Radiology Past Accepting new patients

Locations

463 E Circle Dr
East Lansing, MI 48824
Phone (517) 355-8237

535 Chestnut Rd
#N15
East Lansing, MI 48824
Phone (517) 884-3923

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Interoperability endpoints

  • Direct secure messaging: kevin.robinson.1@25394.direct.athenahealth.com

Organizations & group practices 11

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 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1750339388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM A204",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247037",
            "telephone_number": "517-353-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM A204",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247037",
            "telephone_number": "517-353-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101012579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750339388",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.