BONIFACE A. TUBIE, M.D.
NPI 1912001314
Internal Medicine in Southfield, MI

NPI Status: Active since September 08, 2006

Contact Information

20755 GREENFIELD RD
SUITE #203
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 395-2206
Fax: (248) 395-0456

Get Directions Write a Review

  • Organization
  • Internal Medicine
  • CLIA Number: 23D1011976
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-28-2027

About BONIFACE A. TUBIE, M.D.

This page provides the complete NPI Profile along with additional information for Boniface A. Tubie, M.d., an internist established in Southfield, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1912001314 assigned on September 2006. The practitioner's primary taxonomy code is 207R00000X with license number 4301072901 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Dr. Boniface Atakekor Tubie M.d. (Physician/ Ceo)

NPI
1912001314
Provider Legal Name
BONIFACE A. TUBIE, M.D.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
20755 GREENFIELD RD SUITE #203 SOUTHFIELD, MI 48075
Location Phone
(248) 395-2206
Location Fax
(248) 395-0456
Mailing Address
6915 DOBBS WAY WEST BLOOMFIELD, MI 48322
Mailing Phone
(248) 592-1518
Mailing Fax
(248) 395-0456
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2006
Last Update Date
09-11-2025
Code Navigator

An internist like Boniface A. 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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301072901
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

43010729901 (MI)
2246ZN0300XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Nephrology

4301072901 (MI)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BONIFACE ATAKEKOR TUBIE M.D.

Authorized Official Title
PHYSICIAN/ CEO
Authorized Official Phone
(248) 395-2206

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
4341231MEDICAID (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 A. 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 A. TUBIE, M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1912001314, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 0 → 0 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 0 + 0 + 2 + 3 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1912001314.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Preferred Provider Organization
20755 GREENFIELD RD, SUITE 803
SOUTHFIELD, MI 48075
Family Medicine
20755 GREENFIELD RD, STE #1004
SOUTHFIELD, MI 48075
Specialist
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Specialist
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Family Medicine
20755 GREENFIELD RD, SUITE 107
SOUTHFIELD, MI 48075
Legal Medicine
20755 GREENFIELD RD, SUITE # 802
SOUTHFIELD, MI 48075
Obstetrics & Gynecology
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Physical Medicine & Rehabilitation
20755 GREENFIELD RD, SUITE 200
SOUTHFIELD, MI 48075
Ophthalmology
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Home Health
20755 GREENFIELD RD, STE 507
SOUTHFIELD, MI 48075
Social Worker (Clinical)
20755 GREENFIELD RD, SUITE 1101
SOUTHFIELD, MI 48075
General Practice
20755 GREENFIELD RD, SUITE 100A
SOUTHFIELD, MI 48075
Home Health
20755 GREENFIELD RD, STE 503
SOUTHFIELD, MI 48075
Family Medicine (Addiction Medicine)
20755 GREENFIELD RD, SUITE 100
SOUTHFIELD, MI 48075
Home Health
20755 GREENFIELD RD, STE. 607
SOUTHFIELD, MI 48075
Massage Therapist
20755 GREENFIELD RD, SUITE 610
SOUTHFIELD, MI 48075
Physical Therapist
20755 GREENFIELD RD, SUITE 202
SOUTHFIELD, MI 48075
Clinic/Center (Physical Therapy)
20755 GREENFIELD RD
SOUTHFIELD, MI 48075
Clinic/Center (Primary Care)
20755 GREENFIELD RD, SUITE 107
SOUTHFIELD, MI 48075
Home Health
20755 GREENFIELD RD, SUITE 202
SOUTHFIELD, MI 48075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912001314, enumerated as an "organization" on September 08, 2006.

The provider is located at 20755 GREENFIELD RD SUITE #203 SOUTHFIELD, MI 48075 and the phone number is (248) 395-2206.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.