Active NPI
Mark Roby, PAC
- Physician Assistant
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MR001689
- Practice address
- 30840 Northwestern Hwy
Ste 110
Farmington Hills, MI 48334-2552 - Phone
- (248) 626-7544
- Fax
- (248) 626-9698
- NPI assigned
- May 18, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MR001689 | MI | Primary |
Addresses
Primary practice location
30840 Northwestern Hwy
Ste 110
Farmington Hills, MI 48334-2552
Mailing address
1245 Derby Rd
#7
Birmingham, MI 48009-5809
Phone (248) 318-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1245 Derby Rd
Birmingham, MI 48009-5809
Phone (248) 859-3900
39465 W 14 Mile Rd
Novi, MI 48377-1600
Phone (877) 906-9699
445 Minnesota St
Suite 1500
Saint Paul, MN 55101-2269
Phone (651) 256-9400
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.96 of 100
- Quality
- 21.71
- Promoting interoperability
- 12
- Improvement activities
- 40
- Cost
- 78.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MR001689 | MI | MD | Physician Assistant |
| 14057 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Psychiatric Services PLLC | Past | Accepting new patients | |
| Embrace Home Physicians PLLC | Past | Accepting new patients | |
| Farmington Hills Medical Center, PC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Novi, MI
- NPI 1154727147
MN
-
- Psychiatry Physician
- Waukesha, WI
- NPI 1629579149
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1548704778
-
dba Farmington Medical Center
- General Practice Physician
- Farmington Hills, MI
- NPI 1730128190
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770536989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 DERBY RD",
"address_2": "#7",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480095809",
"telephone_number": "248-318-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30840 NORTHWESTERN HWY",
"address_2": "STE 110",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342552",
"telephone_number": "248-626-7544",
"fax_number": "248-626-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBY",
"first_name": "MARK",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "MR001689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.