Individual provider Active NPI

Robert Howells Blotter, MD

  • Orthopaedic Surgery Physician
  • Marquette, MI
National Provider Identifier
1861403719
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301074395 Issued in MI
Practice address
1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675
Phone
(906) 225-1321
Fax
(906) 228-9371
NPI assigned
Aug 10, 2006
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301074395 MI Primary

Addresses

Primary practice location

1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675

Mailing address

1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675
Phone (906) 225-1321

Other identifiers 2

IdentifierTypeStateIssuer
0E26013OtherMIBLUE CROSS BLUE SHIELD MI
4142229MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, HI2 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
I20091110000664 MI Practitioner - Orthopedic Surgery 7214954957 Reassigns benefits to 4 organizations
I20240603003084 HI Practitioner - Orthopedic Surgery 7214954957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portage Physician Practices IncGroup PAC ID 6103053509, 56 clinicians

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-5406
Phone (906) 225-1321

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074395MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Dec 1, 2022 Accepting new patients
American Samoa Medical Center CurrentSince Apr 6, 2024 Accepting new patients
Portage Physician Practices Inc CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Portage Physician Practices Inc Orthopaedic Surgery CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Keweenaw CurrentSince Dec 1, 2022 Accepting new patients
Orthopaedic Surgery Associates of Marquette PC CurrentSince Aug 15, 1999 Accepting new patients
Orthopaedic Surgery Associates of Marquette PC Orthopaedic Surgery CurrentSince Aug 15, 1999 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

1414 W Fair Ave
Ste 190
Marquette, MI 49855
Phone (906) 225-1321

Interoperability endpoints

  • Direct secure messaging: rblotter@acops1752.srs-direct.com
  • Direct secure messaging: rblotter194084@direct.aspirus.org
  • Direct secure messaging: robert.blotter.1@8233.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1861403719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOTTER",
        "first_name": "ROBERT",
        "middle_name": "HOWELLS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301074395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0E26013",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4142229",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.