Individual provider Active NPI

John Rohan Lobo, M.D.

  • Urology Physician
  • Grand Rapids, MI
National Provider Identifier
1962512699
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301085171 Issued in MI
Practice address
4070 Lake Dr SE
Grand Rapids, MI 49546-8294
Phone
(616) 949-4340
Fax
(616) 949-4341
NPI assigned
Aug 30, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301085171 MI Primary
Urology Physician 208800000X 01092518A IN

Addresses

Primary practice location

4070 Lake Dr SE
Grand Rapids, MI 49546-8294

Mailing address

1000 E Paris Ave SE Ste 230
Grand Rapids, MI 49546-3680
Phone (616) 949-4340

Other practice location 1

4441 Capital Ave SW
Battle Creek, MI 49015-9359
Phone (269) 788-6888

Other practice location 2

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

Other practice location 3

8865 W 400 N Ste 105
Michigan City, IN 46360-9223
Phone (219) 861-8740

Other practice location 4

1701 Gull Rd
Kalamazoo, MI 49048-1609
Phone (269) 633-2510

Other identifiers 6

IdentifierTypeStateIssuer
300090847MedicaidIN
4748234MedicaidMI
P00230448OtherRAILROAD MEDICARE
340D160430OtherMIBCBSM
1962512699MedicaidMI
1103836793OtherINANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jlobo3575@epic00.corewelldirect.org
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 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
I20050706000296 MI Practitioner - Urology 3274579891 Reassigns benefits to 9 organizations
I20240308001878 IN Practitioner - Urology 3274579891 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Surgeons PCGroup PAC ID 3072559863, 7 clinicians
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1000 E Paris Ave SE
Suite 230
Grand Rapids, MI 49546-3680
Phone (616) 949-4340

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

4441 Capital Ave SW
Bronson Urology Specialists
Battle Creek, MI 49015-9359
Phone (269) 788-6888

611 E Douglas Rd
309 Saint Joseph Pulmonology Mishawaka
Mishawaka, IN 46545-1467
Phone (574) 335-6900

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3360

8865 W 400 N
Suite 105
Michigan City, IN 46360-9223
Phone (219) 877-2060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085171MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2025 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Nov 8, 2024 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jun 17, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Nov 8, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 19, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 24, 2025 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Urology CurrentSince Jul 26, 2024 Accepting new patients
Franciscan Physician Network CurrentSince Mar 31, 2025 Accepting new patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2024 Accepting new patients
Bronson Methodist Hospital CurrentSince Jan 1, 2025 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Urology Surgeons PC Urology CurrentSince Jul 1, 2005 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 19, 2024 Accepting new patients
Sheridan Community Hospital CurrentSince Nov 8, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 26, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 26, 2024 Accepting new patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2024 Accepting new patients
Covenant Medical Center, Inc CurrentSince Feb 1, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 24, 2025 Accepting new patients
Sheridan Community Hospital Current Accepting new patients
Lutheran Medical Group LLC CurrentSince Jun 17, 2024 Accepting new patients
Sheridan Community Hospital CurrentSince Nov 8, 2023 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Franciscan Physician Network CurrentSince Mar 31, 2025 Accepting new patients

Locations (25 of 26)

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

7910 W Jefferson Blvd
Ste 112
Fort Wayne, IN 46804
Phone (260) 969-7121

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

8865 W 400 N
Ste 105
Michigan City, IN 46360
Phone (219) 861-8740

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

4441 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 788-6888

1000 East Paris Ave SE
Ste 230
Grand Rapids, MI 49546
Phone (616) 942-1660

1535 Gull Rd
Ste 150
Kalamazoo, MI 49048
Phone (269) 349-9745

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-318
Kalamazoo, MI 49007
Phone (269) 345-6197

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

850 W Baraga Ave
Ste 12
Marquette, MI 49855
Phone (906) 449-3360

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

815 Saint Joseph Dr
Saint Joseph, MI 49085
Phone (269) 982-4272

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: jlobo159879@direct.covenanthealthcare.com
  • Direct secure messaging: jlobo3575@epic00.corewelldirect.org
  • Direct secure messaging: jlobo45598@direct.trinity-health.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1962512699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-949-4340",
            "fax_number": "616-949-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-949-4340",
            "fax_number": "616-949-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Capital Ave SW",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490159359",
            "country_code": "US",
            "telephone_number": "269-788-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "947-521-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8865 W 400 N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609223",
            "country_code": "US",
            "telephone_number": "219-861-8740",
            "fax_number": "219-877-1029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Gull Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481609",
            "country_code": "US",
            "telephone_number": "269-633-2510",
            "fax_number": "269-633-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBO",
        "first_name": "JOHN",
        "middle_name": "ROHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301085171",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01092518A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300090847",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4748234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "340D160430",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962512699",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1103836793",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlobo3575@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.