Individual provider Active NPI

Robert Paul McGahey, MD

  • Pediatric Adolescent Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1891728705
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
4301082453 Issued in MI
Practice address
20225 E 9 Mile Rd
Suite a
Saint Clair Shores, MI 48080-1775
Phone
(586) 772-1090
Fax
(586) 772-4366
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 4301082453 MI Primary

Addresses

Primary practice location

20225 E 9 Mile Rd
Suite a
Saint Clair Shores, MI 48080-1775

Mailing address

20225 E 9 Mile Rd
Suite a
Saint Clair Shores, MI 48080-1775
Phone (586) 772-1090

Other identifiers 1

IdentifierTypeStateIssuer
0E011720OtherMIBCBS GROUP NUMBER

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
I20060830000093 MI Practitioner - Pediatric Medicine 2163426438 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301082453MIMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Cornerstone Medical Group CurrentSince Jan 22, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Thomas D Schomaker DO PC Past Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

36075 Utica Rd
Ste 100
Clinton Twp, MI 48035
Phone (586) 741-0430

46591 Romeo Plank Rd
Ste 112
Macomb, MI 48044
Phone (586) 228-0130

1135 W University Dr
Ste 355
Rochester Hills, MI 48307
Phone (248) 680-8060

20225 E 9 Mile Rd
Ste 100
Saint Clair Shores, MI 48080
Phone (586) 285-9600

25319 Little Mack Ave
Ste 100
Saint Clair Shores, MI 48081

20225 E 9 Mile Rd
Ste A
St Clr Shores, MI 48080
Phone (586) 772-1090

Interoperability endpoints

  • Direct secure messaging: rmcgahey1140909@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • Direct secure messaging: robert.mcgahey.2@8209.direct.athenahealth.com

Organizations & group practices 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1891728705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801775",
            "telephone_number": "586-772-1090",
            "fax_number": "586-772-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801775",
            "telephone_number": "586-772-1090",
            "fax_number": "586-772-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAHEY",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301082453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0E011720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.