DR. DANIEL JOHN ROBERTSON M.D.
NPI 1578501573
Surgery - Pediatric Surgery in Grand Rapids, MI

Q: What is Daniel Robertson's NPI number?

The NPI number for Daniel Robertson is 1578501573. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is Daniel Robertson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Robertson was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 02, 2006PECOS Enrolled

330 BARCLAY AVE NE, SUITE 202, GRAND RAPIDS, MI 49503(616) 458-1722(616) 458-0061 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Daniel John Robertson M.d. NPPES

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

DR. DANIEL JOHN ROBERTSON M.D. (NPI 1578501573) is an individual pediatric surgery provider in Grand Rapids, Michigan, licensed in Michigan (DR087361) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578501573

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameDR. DANIEL JOHN ROBERTSONCredential: M.D.

Location Address330 BARCLAY AVE NE, SUITE 202Grand Rapids, MI 49503-2556

Mailing Address330 Barclay Ave Ne, Suite 202Grand Rapids, MI 49503-2556 · (616) 458-1722 · Fax (616) 458-0061

Phone(616) 458-1722

Fax(616) 458-0061

Sole ProprietorNo

Enumeration DateJune 2, 2006

Last NPPES UpdateOctober 11, 2007

✔ NPI 1578501573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in MI · DR087361

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

330 BARCLAY AVE NE, Grand Rapids, MI 49503

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Other Identifiers 3

OtherP00203119AL · Railroad Medicare

Medicare UPINH80609

Medicaid4868466MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel John Robertson 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.

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.

WEST MICHIGAN HEART

Internal Medicine (Cardiovascular Disease)

330 BARCLAY AVE NE, SUITE 200
GRAND RAPIDS, MI 49503

Kent County (616) 486-6793

MOUNIR DJEMIL MD

Pediatrics

330 BARCLAY AVE NE, SUITE 300
GRAND RAPIDS, MI 49503

Kent County (616) 391-8810

AKUNNE NDIKA M.D.

Pediatrics

330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-8810

MRS. ANGELA KAY BARTON

Audiologist

330 BARCLAY AVE NE, SUITE GL1
GRAND RAPIDS, MI 49503

Kent County (616) 459-2424

ASHLEY ANN SUE STORMS MD

Obstetrics & Gynecology

330 BARCLAY AVE NE, STE 304
GRAND RAPIDS, MI 49503

Kent County (616) 391-2160

DR. DAVID JAMES DEWITT M.D.

Obstetrics & Gynecology

330 BARCLAY AVE NE, SUITE 102
GRAND RAPIDS, MI 49503

Kent County (616) 391-1929

DANIEL JOSEPH WATKINS MD

Surgery (Pediatric Surgery)

330 BARCLAY AVE NE, SUITE 202
GRAND RAPIDS, MI 49503

Kent County (616) 458-1722

CONSTANCE RENEE JORDAN M.D.

Pediatrics

330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-8810

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 Daniel Robertson's NPI number?

The NPI number for Daniel Robertson is 1578501573. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Daniel Robertson located?

Daniel Robertson practices at 330 Barclay Ave NE Suite 202, Grand Rapids, MI 49503. The listed phone number is (616) 458-1722.

What is Daniel Robertson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Daniel Robertson enrolled in Medicare?

Yes. Daniel Robertson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Robertson was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.