BONIFACE TUBIE, M.D.
NPI 1407863194
Internal Medicine - Nephrology in Southfield, MI

Q: What is Delta Renal Group, P.C.'s NPI number?

The NPI number for Delta Renal Group, P.C. is 1407863194. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Boniface Tubie, M.D..

Q: What is Delta Renal Group, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since August 02, 2006CLIA 23D1011976 · Waiver

20755 GREENFIELD RD, SUITE NUMBER 203, SOUTHFIELD, MI 48075(248) 395-2206(248) 395-0456 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Boniface Tubie, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONIFACE TUBIE, M.D. (NPI 1407863194) is a healthcare organization registered as a nephrology in Southfield, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Boniface Atakekor Tubie, President/ Coe, as its authorized official.

NPPES Registry Identity

NPI1407863194

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameDELTA RENAL GROUP, P.C.

Location Address20755 GREENFIELD RD, SUITE NUMBER 203Southfield, MI 48075-5403

Mailing Address20755 Greenfield Rd, Suite Number 203Southfield, MI 48075-5403 · (248) 395-2206 · Fax (248) 395-0456

Phone(248) 395-2206

Fax(248) 395-0456

Organization SubpartNo

Authorized OfficialBoniface Atakekor TubiePresident/ Coe · (248) 395-2206

Enumeration DateAugust 2, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407863194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MI · 4301072901

Definition

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.

20755 GREENFIELD RD, Southfield, MI 48075

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Other Names 1

Doing Business AsBoniface Tubie, M.d.

Other Identifiers 1

Medicaid4341231MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1011976

Delta Renal Group, PC · Southfield, MI

Active · expires Apr 28, 2027

CLIA Number23D1011976

Laboratory TypePhysician Office

Certificate Effective DateApril 29, 2025

Certificate Expiration DateApril 28, 2027

Laboratory DirectorSharon Blackshire Tubie

Laboratory Phone(248) 395-2206

Laboratory LocationDelta Renal Group, PC20755 Greenfield Road, Suite 203, Southfield, MI 48075

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PEGGY RICHARDSON M.D.

Legal Medicine

20755 GREENFIELD RD, SUITE # 802
SOUTHFIELD, MI 48075

Oakland County (248) 557-7546

LAZ MEDICAL GROUP PC

Family Medicine (Hospice and Palliative Medicine)

20755 GREENFIELD RD, #1101
SOUTHFIELD, MI 48075

Oakland County (248) 569-7550

KINETIX REHAB SERVICES, INC.

Clinic/Center (Physical Therapy)

20755 GREENFIELD RD
SOUTHFIELD, MI 48075

Oakland County (248) 423-0920

SENIORS HOME HEALTH CARE, INC.

Home Health

20755 GREENFIELD RD, STE. 607
SOUTHFIELD, MI 48075

Oakland County (248) 423-9888

HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC.

Preferred Provider Organization

20755 GREENFIELD RD, SUITE 803
SOUTHFIELD, MI 48075

Oakland County (248) 552-0283

WELLNESS HOME HEALTHCARE SERVICES, LLC

Home Health

20755 GREENFIELD RD, STE 503
SOUTHFIELD, MI 48075

Oakland County (248) 552-9222

DR. HAMPTON JOSEPH MANSION D.O.

Family Medicine

20755 GREENFIELD RD, SUITE 107
SOUTHFIELD, MI 48075

Oakland County (248) 557-3777

DR. SHARON BLACKSHIRE-TUBIE FNP-BC

Nurse Practitioner (Primary Care)

20755 GREENFIELD RD, #203
SOUTHFIELD, MI 48075

Oakland County (248) 395-2206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delta Renal Group, P.C.'s NPI number?

The NPI number for Delta Renal Group, P.C. is 1407863194. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Boniface Tubie, M.D..

Where is Delta Renal Group, P.C. located?

Delta Renal Group, P.C. is located at 20755 Greenfield Rd Suite Number 203, Southfield, MI 48075. The listed phone number is (248) 395-2206.

What is Delta Renal Group, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Delta Renal Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1011976) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delta Renal Group, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Delta Renal Group, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Delta Renal Group, P.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.