NPIMap

Individual provider Active NPI

Robert H Goo, MD

  • Gastroenterology Physician
  • W Bloomfield, MI
National Provider Identifier
1760473540
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301046558 Issued in MI
Practice address
2300 Haggerty Rd
Ste 2010
W Bloomfield, MI 48323-2184
Phone
(248) 926-9660
Fax
(248) 926-9927
NPI assigned
Nov 2, 2005
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301046558 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Ste 2010
W Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd
Ste 2010
West Bloomfield, MI 48323-2184
Phone (248) 926-9660

Other identifiers 1

IdentifierTypeStateIssuer
2922463MedicaidMI

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
I20101210000539 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 1456315605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakland Gastroenterology Associates, P.C.Group PAC ID 7113981358, 3 clinicians

Practice addresses (Care Compare)

100 N Pond Dr
Suite C
Walled Lake, MI 48390-3079
Phone (248) 551-0900

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 551-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Gastroenterology Associates, P.C. Gastroenterology CurrentSince Jul 1, 1992 Accepting new patients

Locations

3535 W 13 Mile Rd
Ste 202
Royal Oak, MI 48073
Phone (248) 551-0900

100 N Pond Dr
Ste C
Walled Lake, MI 48390
Phone (248) 624-2222

2300 Haggerty Rd
Ste 2010
West Bloomfield, MI 48323
Phone (248) 926-9660

Interoperability endpoints

  • Direct secure messaging: rgoo@direct.dmc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1760473540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "STE 2010",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-926-9660",
            "fax_number": "248-926-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "STE 2010",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-926-9660",
            "fax_number": "248-926-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOO",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301046558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2922463",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.