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DR. ROBERT M SODERSTROM M.D.
NPI 1548294176
Dermatology in Flint, MI

Active since July 10, 2006PECOS Enrolled
G-5131 WEST BRISTOL RD, STE A, FLINT, MI 48507(810) 733-2090(810) 733-0387 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2019, Oct 24, 2018 (2 updates tracked since 2018).

About Dr. Robert M Soderstrom M.d. NPPES

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

DR. ROBERT M SODERSTROM M.D. (NPI 1548294176) is an individual dermatology provider in Flint, Michigan, licensed in Michigan (4301032434) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548294176
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. ROBERT M SODERSTROMCredential: M.D.
Location AddressG-5131 WEST BRISTOL RD, STE AFlint, MI 48507
Mailing Address5131 W Bristol Rd, Ste AFlint, MI 48507-2970 · (810) 733-2090 · Fax (630) 495-1770
Phone(810) 733-2090
Fax(810) 733-0387
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration
✔ NPI 1548294176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301032434
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
G-5131 WEST BRISTOL RD, Flint, MI 48507
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Other Identifiers 3

Other0771592MI · Healthplus Of Michigan
Medicaid1421419MI
Other0257159MI · Blue Care Network Michiga

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert M Soderstrom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Soderstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Dermatology, Sc
248 mi
Dermatology
1124 ESSINGTON RD
Joliet, IL 60435
  • Reassigned Medicare billing, Michigan enrollment
  • 37 clinicians in this Medicare group
NPI 1861930984 (815) 744-8554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48507 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Soderstrom's NPI number?

The NPI number for Robert Soderstrom is 1548294176. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Robert Soderstrom located?

Robert Soderstrom practices at G-5131 West Bristol Rd Ste A, Flint, MI 48507. The listed phone number is (810) 733-2090.

What is Robert Soderstrom's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Robert Soderstrom enrolled in Medicare?

Yes. Robert Soderstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Soderstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Soderstrom reassigns Medicare benefits to Pinnacle Dermatology, Sc (Joliet, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Soderstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Soderstrom was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.