BONIFACE TUBIE, M.D.
NPI 1407863194
Internal Medicine - Nephrology in Southfield, MI
NPI Status: Active since August 02, 2006
Contact Information
20755 GREENFIELD RD
SUITE NUMBER 203
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 395-2206
Fax: (248) 395-0456
- Organization
- Internal Medicine
- Nephrology
- Accepts Insurance
- CLIA Number: 23D1011976
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-28-2027
About BONIFACE TUBIE, M.D.
This page provides the complete NPI Profile along with additional information for Boniface Tubie, M.d., an internist established in Southfield, Michigan operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1407863194 assigned on August 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 4301072901 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. Boniface Tubie, M.d. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Boniface Tubie, M.d.. The authorized official of this NPI record is Dr. Boniface Atakekor Tubie M.d. (President/ Coe)
- NPI
- 1407863194
- Provider Legal Name
- DELTA RENAL GROUP, P.C.
- Other Organization Name
- BONIFACE TUBIE, M.D.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 20755 GREENFIELD RD SUITE NUMBER 203 SOUTHFIELD, MI 48075
- Location Phone
- (248) 395-2206
- Location Fax
- (248) 395-0456
- Mailing Address
- 20755 GREENFIELD RD SUITE NUMBER 203 SOUTHFIELD, MI 48075
- Mailing Phone
- (248) 395-2206
- Mailing Fax
- (248) 395-0456
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 08-22-2020
- Code Navigator
An internist like Boniface Tubie, M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301072901
- License State
- MI
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4341231 | MEDICAID (05) | MI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1011976
- Facility Type
- Physician Office
- Certificate Effective Date
- April 29, 2025
- Certificate Expiration Date
- April 28, 2027
- Laboratory Director
- SHARON BLACKSHIRE TUBIE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Boniface Tubie, M.d. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BONIFACE TUBIE, M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407863194, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407863194, enumerated as an "organization" on August 02, 2006.
The provider is located at 20755 GREENFIELD RD SUITE NUMBER 203 SOUTHFIELD, MI 48075 and the phone number is (248) 395-2206.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
