Individual provider Active NPI

Robert C. Erickson, M.D.

  • Ophthalmology Physician
  • Birmingham, MI
National Provider Identifier
1760476535
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
RE058028 Issued in MI
Practice address
800 S Adams Rd
Suite 201
Birmingham, MI 48009-7005
Phone
(248) 644-8060
Fax
(248) 644-5081
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X RE058028 MI Primary

Addresses

Primary practice location

800 S Adams Rd
Suite 201
Birmingham, MI 48009-7005

Mailing address

800 S Adams Rd
Suite 201
Birmingham, MI 48009-7005
Phone (248) 644-8060

Other identifiers 13

IdentifierTypeStateIssuer
0F37296004OtherMIRAILROAD MEDICARE
381867275OtherHARRINGTON BENEFITS
381867275OtherPPOM
3359311MedicaidMI
180F372960OtherMIBLUE CARE NETWORK
0F37296OtherMIBCBSM
381867275OtherUNITED HEALTHCARE
G12736OtherHAP
381867275OtherAETNA
381867275OtherCIGNA
381867275OtherWPS TRICARE FOR LIFE
C5033OtherMCARE
381867275OtherGREAT LAKES

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
I20080924000564 MI Practitioner - Ophthalmology 6002819844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Ophthalmic Surgery PCGroup PAC ID 6103829940, 8 clinicians

Practice addresses (Care Compare)

800 S Adams Rd
Suite 201
Birmingham, MI 48009-7008
Phone (248) 644-8060

Merit-based Incentive Payment System (MIPS)

Final score
99.08 of 100Reported as individual
Quality
98.15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RE058028MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Ophthalmic Surgery PC Ophthalmology CurrentSince Jun 26, 1997 Accepting new patients

Locations

800 S Adams Rd
Ste 201
Birmingham, MI 48009
Phone (248) 644-8060

4600 Investment Dr
Ste 130
Troy, MI 48098
Phone (248) 267-5045

Interoperability endpoints

  • Direct secure messaging: roberterickson@direct-address.net
  • FHIR API: https://app.meldrx.com/api/fhir/93as17mb

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1760476535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S ADAMS RD",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097005",
            "telephone_number": "248-644-8060",
            "fax_number": "248-644-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S ADAMS RD",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097005",
            "telephone_number": "248-644-8060",
            "fax_number": "248-644-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "RE058028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0F37296004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRINGTON BENEFITS",
            "identifier": "381867275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "381867275",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3359311",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "180F372960",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F37296",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "381867275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "G12736",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "381867275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "381867275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE FOR LIFE",
            "identifier": "381867275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C5033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "381867275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.