Individual provider Active NPI

Robert A Teitge, M.D.

  • Orthopaedic Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1801888714
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301042363 Issued in MI
Practice address
6525 W Maple Rd
Suite 101E
West Bloomfield, MI 48322
Phone
(248) 489-4410
Fax
(248) 489-4420
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 4301042363 MI
Orthopaedic Surgery Physician 207X00000X 4301042363 MI Primary

Addresses

Primary practice location

6525 W Maple Rd
Suite 101E
West Bloomfield, MI 48322

Mailing address

6525 W Maple Rd
Suite 101E
West Bloomfield, MI 48322
Phone (248) 489-4410

Other identifiers 1

IdentifierTypeStateIssuer
1801888714MedicaidMI

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
I20050110000622 MI Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 5698723385 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Orthopaedic Surgery CurrentSince Jul 1, 2008 Accepting new patients
VHS Physicians of Michigan CurrentSince Dec 14, 2015 Accepting new patients
University Physician Group CurrentSince Jul 1, 2008 Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

3272 E 12 Mile Rd
Ste 108
Warren, MI 48092
Phone (586) 573-3100

28800 Ryan Rd
Ste 120
Warren, MI 48092
Phone (586) 558-1221

6525 W Maple Rd
Ste 101E
West Bloomfield, MI 48322
Phone (248) 489-4410

6525 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 280-8550

Interoperability endpoints

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

Organizations & group practices 3

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801888714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 W MAPLE RD",
            "address_2": "SUITE 101E",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-489-4410",
            "fax_number": "248-489-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W MAPLE RD",
            "address_2": "SUITE 101E",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-489-4410",
            "fax_number": "248-489-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITGE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301042363",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301042363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801888714",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.