VINCENT R C MARIBAO MD PC
NPI 1730114760
Internal Medicine in Saint Clair Shores, MI

Q: What is Vincent R C Maribao MD PC's NPI number?

The NPI number for Vincent R C Maribao MD PC is 1730114760. It was assigned to this organization in the NPPES registry on July 11, 2006.

Q: What is Vincent R C Maribao MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 11, 2006CLIA 23D0962982 · Waiver

29167 JEFFERSON AVE STE 100, SAINT CLAIR SHORES, MI 48081(586) 498-1160 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Oct 1, 2019 (2 updates tracked since 2019).

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About Vincent R C Maribao Md Pc NPPES

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

VINCENT R C MARIBAO MD PC (NPI 1730114760) is a healthcare organization registered as an internal medicine in Saint Clair Shores, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Vincent R. C. Maribao, Owner, as its authorized official.

NPPES Registry Identity

NPI1730114760

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameVINCENT R C MARIBAO MD PC

Location Address29167 JEFFERSON AVE STE 100Saint Clair Shores, MI 48081-1331

Mailing Address29167 Jefferson Ave Ste 100Saint Clair Shores, MI 48081-1331 · (586) 498-1160

Phone(586) 498-1160

Organization SubpartNo

Authorized OfficialVincent R. C. MaribaoOwner · (586) 498-1160

Enumeration DateJuly 11, 2006

Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1730114760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

29167 JEFFERSON AVE STE 100, Saint Clair Shores, MI 48081

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Other Identifiers 1

Medicaid4177064MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent R C Maribao Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vincent R C Maribao MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vincent Maribao, MD

Internal Medicine

NPI 1902835168

29167 JEFFERSON AVE STE 100
Saint Clair Shores, MI 48081

(586) 498-1160

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 23D0962982

Vincent R C Maribao MD PC · St Clair Shores, MI

Active · expires Nov 29, 2027

CLIA Number23D0962982

Laboratory TypePhysician Office

Certificate Effective DateNovember 30, 2025

Certificate Expiration DateNovember 29, 2027

Laboratory DirectorVincent R C Maribao

Laboratory Phone(586) 498-1160

Laboratory LocationVincent R C Maribao MD PC29167 Jefferson Avenue Suite 100, St Clair Shores, MI 48081

CLIA data matches this NPI record on: Name Phone

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

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 Vincent R C Maribao MD PC's NPI number?

The NPI number for Vincent R C Maribao MD PC is 1730114760. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Vincent R C Maribao MD PC located?

Vincent R C Maribao MD PC is located at 29167 Jefferson Ave Ste 100, Saint Clair Shores, MI 48081. The listed phone number is (586) 498-1160.

What is Vincent R C Maribao MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vincent R C Maribao MD PC enrolled in Medicare?

Yes. Vincent R C Maribao MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vincent R C Maribao MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Vincent R C Maribao MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vincent R C Maribao MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0962982) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vincent R C Maribao MD PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Vincent R C Maribao MD PC 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 Vincent R C Maribao MD PC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.