ROBERT P JR. ROBERTS (MD) – Obstetrics & Gynecology Physician, NPI 1093823528

ROBERT P JR. ROBERTS (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 4301043739 (MI). The NPI Number for ROBERT P JR. ROBERTS (MD) is 1093823528

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT P JR. ROBERTS (MD)
NPI
1093823528
Phone
(616) 726-1300
Address
781 KENMOOR SE
Enumeration Date
25 August 2006
Last Update Date
19 December 2012

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6163911774
Graduation Year
1977 (49 years ago)
PAC ID
5890687941
Group Practice PAC ID
8921904764
Professional Enrollment ID
I20040325000825
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT P JR. ROBERTS (MD)

  • Kenmoor Avenue Southeast, Eastmont, Grand Rapids Charter Township, Kent County, Michigan, 49546, United States

    GRAND RAPIDS, MI 495468624

    Phone: (616) 726-1300

    Fax: (616) 726-1302

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921904764View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ROBERT P JR. ROBERTS (MD) in U.S. healthcare records?
The official identifier for ROBERT P JR. ROBERTS (MD) is NPI 1093823528.
Active or inactive — what applies to ROBERT P JR. ROBERTS (MD)?
You should see ROBERT P JR. ROBERTS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for ROBERT P JR. ROBERTS (MD)?
At a glance, ROBERT P JR. ROBERTS (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT P JR. ROBERTS (MD)?
Travel planning: use Grand Rapids, Michigan as the reference point for ROBERT P JR. ROBERTS (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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