Individual provider Active NPI

Robin Webb, MD

  • Internal Medicine Physician
  • Zeeland, MI
National Provider Identifier
1851316236
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301062272 Issued in MI
Practice address
148 E Cherry Ave FL 6
Zeeland, MI 49464-1724
Phone
(616) 772-1655
NPI assigned
Jul 13, 2006
Last updated
Jan 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6056A WY
Internal Medicine Physician 207R00000X 4301062272 MI Primary
Internal Medicine Physician 207R00000X MD27811 OR

Addresses

Primary practice location

148 E Cherry Ave FL 6
Zeeland, MI 49464-1724

Mailing address

148 E Cherry Ave FL 6
Zeeland, MI 49464-1724

Other identifiers 1

IdentifierTypeStateIssuer
241557MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140923000910 MI Practitioner - Internal Medicine 9537061973 Reassigns benefits to 1 organization
I20200428000978 TX Practitioner - Internal Medicine 9537061973 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27811ORMDInternal Medicine Physician
6056AWYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic CurrentSince Apr 16, 2020 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Promed Healthcare CurrentSince Jan 1, 2021 Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Thoreau Clinic CurrentSince Apr 16, 2020 Accepting new patients

Locations

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

1241 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-9539

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1851316236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E CHERRY AVE FL 6",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E CHERRY AVE FL 6",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641724",
            "telephone_number": "616-772-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ROBIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "6056A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062272",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD27811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241557",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.