Individual provider Active NPI

Robert M Cleary Jr., MD

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1801865019
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301405862 Issued in MI
Practice address
2222 S Linden Rd
Suite a
Flint, MI 48532-5475
Phone
(810) 245-6138
Fax
(810) 538-0070
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 01061692A IN
Cardiovascular Disease Physician 207RC0000X 4301405862 MI Primary
Interventional Cardiology Physician 207RI0011X 4301405862 MI

Addresses

Primary practice location

2222 S Linden Rd
Suite a
Flint, MI 48532-5475

Mailing address

1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone (810) 245-6138

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
I20040308000036 MI Practitioner - Cardiovascular Disease (Cardiology) 9335037829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Consultants of East Michigan PLLCGroup PAC ID 5698788099, 5 clinicians

Practice addresses (Care Compare)

1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone (810) 664-4870

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061692AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of East Michigan PLLC Cardiovascular Disease CurrentSince Nov 7, 2012 Accepting new patients
Arnett Clinic, LLC Past Accepting new patients

Locations

2222 S Linden Rd
Flint, MI 48532
Phone (810) 230-8800

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2222 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-0790

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1031 Suncrest Dr
Lapeer, MI 48446
Phone (810) 664-4870

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIABCD

Organizations & group practices 2

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 2

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1801865019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461136",
            "telephone_number": "810-245-6138",
            "fax_number": "810-538-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-245-6138",
            "fax_number": "810-538-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01061692A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301405862",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301405862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.