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

Robert Moore

Individual provider Family Medicine Physician · NPI 1336599455

Robert Moore is a Family Practice in Wyandotte, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Oakwood Ambulatory LLC, a 272-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
10
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI, OH
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1700 Biddle Ave
Wyandotte, MI 48192-7205
Phone: (734) 284-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 California St Ste 1400, San Francisco, CA 94104-2116 — (831) 484-7713

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101026686 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 34.013795 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5151010031 (MI)

Record details

NPI number1336599455
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2016
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Oakwood Ambulatory Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wyandotte