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ROBERT GREGORY MORTIMORE MD
NPI 1174272314
Internal Medicine in Detroit, MI

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
22201 MOROSS RD STE 50, DETROIT, MI 48236(313) 343-7774(313) 343-8747 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Robert Gregory Mortimore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT GREGORY MORTIMORE MD (NPI 1174272314) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301513636) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Grosse Pointe Woods.

NPPES Registry Identity

NPI1174272314
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT GREGORY MORTIMORECredential: MD
Location Address22201 MOROSS RD STE 50Detroit, MI 48236-2166
Mailing Address22201 Moross Rd Ste 50Detroit, MI 48236-2166 · (313) 343-7774 · Fax (313) 343-8747
Phone(313) 343-7774
Fax(313) 343-8747
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 23, 2022
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1174272314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301513636
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22201 MOROSS RD STE 50, Detroit, MI 48236
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Secondary Practice Location 1

Location 119251 Mack AveGrosse Pointe Woods, MI 48236-2893 · Phone (313) 343-7280

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Gregory Mortimore Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800282096
PECOS Enrollment IDI20250612002165
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMR EL-MOUSA
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
MELAD MONER BARAKAT SAYH MD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
PHU DO
Internal Medicine
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
BEAUX DUHE MD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-4585
DR. SUMAN KAZA MD
Psychiatry & Neurology (Neurology)
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
RAMI AL-KHAFFAF
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
MADHAV R KAPILA
Internal Medicine
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
DR. LENA ANWAR SAID DADDOO MD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Mortimore's NPI number?

The NPI number for Robert Mortimore is 1174272314. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Robert Mortimore located?

Robert Mortimore practices at 22201 Moross Rd Ste 50, Detroit, MI 48236. The listed phone number is (313) 343-7774.

What is Robert Mortimore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Mortimore enrolled in Medicare?

Yes. Robert Mortimore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Mortimore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Robert Mortimore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Mortimore affiliated with any hospitals?

According to CMS data, Robert Mortimore is affiliated with Henry Ford Health Hospital, Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Robert Mortimore was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.