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

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: October 18, 2026.

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
Open in Google Maps ↗

Other Identifiers 3

OtherP00203119AL · Railroad Medicare
Medicare UPINH80609
Medicaid4868466MI

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Osf Multi-Specialty Group
255 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

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

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.

Which organization bills Medicare for Daniel Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Robertson reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, 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 Daniel Robertson'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 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 19 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.