NPIMap

Individual provider Active NPI

Robert Igwe, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Berkley, MI
National Provider Identifier
1871674192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301059771 Issued in MI
Practice address
1949 West Twelve Mile Rd
Ste 200
Berkley, MI 48072
Phone
(248) 543-3700
Fax
(248) 543-4180
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301059771 MI Primary

Addresses

Primary practice location

1949 West Twelve Mile Rd
Ste 200
Berkley, MI 48072

Mailing address

1949 West Twelve Mile Rd
Ste 200
Berkley, MI 48072
Phone (248) 543-3700

Other identifiers 1

IdentifierTypeStateIssuer
3496938MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000745 MI Practitioner - Endocrinology 4981509916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Endocrine Consultants PCGroup PAC ID 2466357496, 6 clinicians

Practice addresses (Care Compare)

31500 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4368
Phone (248) 543-3700

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Merit-based Incentive Payment System (MIPS)

Final score
32.73 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
72.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301059771MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Telemedicine Associates, P.C. Endocrinology, Diabetes & Metabolism CurrentSince May 14, 2020 Accepting new patients
Michigan Endocrine Consultants PC Endocrinology, Diabetes & Metabolism CurrentSince Jul 15, 1997 Accepting new patients

Locations

1949 W 12 Mile Rd
Ste 200
Berkley, MI 48072
Phone (248) 543-3700

31500 Telegraph Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 543-3700

40600 Ann Arbor Rd E
Ste 201
Plymouth, MI 48170
Phone (732) 503-0312

3601 W 13 Mile Rd
Royal Oak, MI 48073

Interoperability endpoints

  • Direct secure messaging: rigwe1239093@epic00.shdirect.org

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871674192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 WEST TWELVE MILE RD",
            "address_2": "STE 200",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "48072",
            "telephone_number": "248-543-3700",
            "fax_number": "248-543-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 WEST TWELVE MILE RD",
            "address_2": "STE 200",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "48072",
            "telephone_number": "248-543-3700",
            "fax_number": "248-543-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301059771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3496938",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.