Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert Gregory Mortimore, MD

Individual provider Internal Medicine Physician · NPI 1174272314

Robert Gregory Mortimore, MD is an Internal Medicine in Detroit, Michigan. Qualified in 2021, 5 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22201 Moross Rd Ste 50
Detroit, MI 48236-2166
Phone: (313) 343-7774
Fax: (313) 343-8747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2893 — (313) 343-7280

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301513636 (MI)

Record details

NPI number1174272314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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