Individual provider Active NPI

Robert Melvin Phillips Jr., MD

  • Internal Medicine Physician
  • Pontiac, MI
National Provider Identifier
1760443600
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047298 Issued in MI
Practice address
35 South Johnson Street
Suite 1B
Pontiac, MI 48341
Phone
(248) 334-9542
Fax
(248) 334-6792
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301047298 MI Primary
Pediatrics Physician 208000000X 4301047298 MI

Addresses

Primary practice location

35 South Johnson Street
Suite 1B
Pontiac, MI 48341

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

Other identifiers 4

IdentifierTypeStateIssuer
RP047298OtherMIBCBS
332609910MedicaidMI
104952354MedicaidMI
110636895OtherMIBLUECROSS SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rphillips414832@direct.hfhs.org

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
I20160906002568 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7012917545 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone (313) 982-8100

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301047298MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Internal Medicine CurrentSince Jul 31, 2016 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Jul 31, 2016 Accepting new patients
Henry Ford Urgent Care Internal Medicine CurrentSince Mar 30, 2026 Accepting new patients
Henry Ford Macomb Hospital Corporation Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Degara, PLLC Internal Medicine Past Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients
Quality Care Physicians Group Past Accepting new patients
Henry Ford Maplegrove Center PastSince Mar 30, 2026 Accepting new patients

Locations

27897 Woodward Ave
Berkley, MI 48072
Phone (248) 397-6196

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

19401 Hubbard Dr
Ste 201
Dearborn, MI 48126
Phone (313) 982-8179

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

7800 W Outer Dr
Rm S1108
Detroit, MI 48235

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

110 E 2nd St
Royal Oak, MI 48067
Phone (248) 546-2110

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

Interoperability endpoints

  • Direct secure messaging: rphillips414832@direct.hfhs.org

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 1

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1760443600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SOUTH JOHNSON STREET",
            "address_2": "SUITE 1B",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-334-9542",
            "fax_number": "248-334-6792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27897 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480720907",
            "country_code": "US",
            "telephone_number": "248-397-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBERT",
        "middle_name": "MELVIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047298",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301047298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RP047298",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332609910",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104952354",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS SHIELD",
            "identifier": "110636895",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rphillips414832@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "7800 W Outer Dr Rm S1-108",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482353461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.