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

Robert J Green, DPM

Individual provider Podiatrist · NPI 1093838666

Robert J Green, DPM is a Podiatry in Warren, Michigan. Graduated from Kent State University College of Podiatric Medicine in 1988, 38 years ago. Practices with Vitality Visiting Physicians PLLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
38
Trained at
Kent State University College of Podiatric Medicine
Licensed in
MI
In the registry since
2007
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11477 E 12 Mile Rd
Warren, MI 48093-2678
Phone: (586) 751-0200
Fax: (586) 751-0414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 5901001570 (MI)

Record details

NPI number1093838666
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address11477 E 12 Mile Rd, Warren, MI 48093-2678

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1988 (38 years in practice)
Group practice Vitality Visiting Physicians Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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