Individual provider Active NPI

Robert Gerald Dodds, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Farmington Hills, MI
National Provider Identifier
1952305765
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
43010363275 Issued in MI
Practice address
30055 Northwestern Hwy Ste 260
Farmington Hills, MI 48334-3275
Phone
(248) 737-4600
Fax
(248) 538-5020
NPI assigned
Jun 9, 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
Obstetrics & Gynecology Physician 207V00000X 4301063275 MI
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 43010363275 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 260
Farmington Hills, MI 48334-3275

Mailing address

30055 Northwestern Hwy Ste 260
Farmington Hills, MI 48334-3275
Phone (248) 737-4600

Other identifiers 1

IdentifierTypeStateIssuer
345712510MedicaidMI

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
I20100507000792 MI Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5092843276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

26850 Providence Pkwy
Novi, MI 48374-1263
Phone (248) 737-4600

30055 Northwestern Hwy
Suite 30
Farmington Hills, MI 48334-3230
Phone (248) 865-4030

30055 Northwestern Hwy 235
Farmington Hills, MI 48334-3282
Phone (248) 737-4600

30055 Northwestern Hwy 260
Providence Family Medicine
Farmington Hills, MI 48334-3275
Phone (248) 865-4030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43010363275MIMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology Current Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jul 20, 1998 Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology CurrentSince Jul 20, 1998 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600

30055 Northwestern Hwy
Ste 260
Farmington Hills, MI 48334
Phone (248) 737-4600

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

26850 Providence Pkwy
Ste 315
Novi, MI 48374
Phone (248) 465-4340

26850 Providence Pkwy
Ste 420
Novi, MI 48374
Phone (248) 465-4840

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: rdodds1125404@direct.hfhs.org

Organizations & group practices 4

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 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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952305765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 260",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343275",
            "telephone_number": "248-737-4600",
            "fax_number": "248-538-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 260",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343275",
            "telephone_number": "248-737-4600",
            "fax_number": "248-538-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDS",
        "first_name": "ROBERT",
        "middle_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301063275",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "43010363275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345712510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.