ROBERT CHARLES MACKINDER (MD) – Internal Medicine Physician, NPI 1124022660

ROBERT CHARLES MACKINDER (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301063583 (MI). The NPI Number for ROBERT CHARLES MACKINDER (MD) is 1124022660

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT CHARLES MACKINDER (MD)
NPI
1124022660
Phone
(616) 391-7800
Address
3271 Clear Vista Ct NE
Enumeration Date
13 June 2005
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
2567466543
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20060905000545
Address ID
MI495463808GR5060XSEXX401
Telehealth
Yes

Contacts

Secure Messaging
robert.Mackinder@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for ROBERT CHARLES MACKINDER (MD)

  • 3271 Clear Vista Ct NE

    Grand Rapids, MI 495259477

    Phone: (616) 391-7800

    Fax: (616) 391-7838

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 7128 FULTON ST E

    ADA, MI 493018413

    Phone: (616) 825-3530

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Medtronic, Inc. ($37).

Total Amount

$37

General + Research + Ownership

Payments

1

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$37
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060905000545IPediatric MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12370$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3636$0
G0008Administration of influenza virus vaccine3230$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3028$0
83036Hemoglobin a1c level2716$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What federal number belongs to ROBERT CHARLES MACKINDER (MD)?
The federal identifier for ROBERT CHARLES MACKINDER (MD) is NPI 1124022660.
Is ROBERT CHARLES MACKINDER (MD) currently active in the NPI registry?
CMS-published data lists ROBERT CHARLES MACKINDER (MD) as an active registrant.
What does ROBERT CHARLES MACKINDER (MD) treat or focus on?
Patients typically see ROBERT CHARLES MACKINDER (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for ROBERT CHARLES MACKINDER (MD)?
We surface Grand Rapids, Michigan for ROBERT CHARLES MACKINDER (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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