DR. ROBERT I MORETSKY D.O. NPI 1487638573

NPI Information

  • NPI: 1487638573
  • Provider Name: DR. ROBERT I MORETSKY, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25600 SCHOENHERR RD
    WARREN, MI
    ZIP 48089
  • Phone: (586) 777-6170

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NPI Details

DR. Robert I Moretsky, D.O. is a family medicine in Warren, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Robert I Moretsky, D.O. NPI is 1487638573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25600 SCHOENHERR RD
WARREN, MI
ZIP 48089-447
Phone: (586) 777-6170
Fax: (586) 777-6582

The NPI 1487638573 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 2/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101005323MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M18760-001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2700H217350OTHERMICHIGANBLUE SHIELD
3E26627MEDICARE UPINMICHIGAN
41487638573MEDICAIDMICHIGAN
5P00237883OTHERMICHIGANRR MEDICARE
60M92440021MEDICARE PINMICHIGAN
7E26627OTHERMICHIGANHAP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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