Active NPI
Mihaela A. Lupu, MD
- Internal Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ML068630
- Practice address
- 18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124 - Phone
- (313) 271-5670
- Fax
- (313) 271-1053
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ML068630 | MI | Primary |
Addresses
Primary practice location
18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124
Mailing address
23300 Ecorse Road
Taylor, MI 48180-1768
Phone (313) 291-9500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110H248450 | Other | MI | BCBS MI |
| 4081722 | Medicaid | MI | |
| 4081722-10 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone 3132919500114
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML068630 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospital Care P C | Internal Medicine | Current | Accepting new patients |
| Future Comprehensive Care, P.C. | Internal Medicine | Current | Accepting new patients |
| Oakwood Healthcare, Inc. | Past | Accepting new patients |
Locations
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
23300 Ecorse Rd
Taylor, MI 48180
Phone (313) 291-9500
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Redford, MI
- NPI 1174185557
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1891926408
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1023118189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23300 ECORSE ROAD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481801768",
"telephone_number": "313-291-9500",
"fax_number": "313-291-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18181 OAKWOOD BLVD",
"address_2": "STE 208",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124",
"telephone_number": "313-271-5670",
"fax_number": "313-271-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPU",
"first_name": "MIHAELA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "ML068630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "110H248450",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4081722",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4081722-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.