Individual provider Active NPI

Mihaela A. Lupu, MD

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1023118189
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ML068630 Issued in MI
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

Updated by the provider on Feb 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110H248450OtherMIBCBS MI
4081722MedicaidMI
4081722-10MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091012000352 MI Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 4082750617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Future Comprehensive Care PCGroup PAC ID 3779810221, 4 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone 3132919500114

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML068630MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospital Care P C Internal Medicine CurrentSince Jan 17, 2010 Accepting new patients
Future Comprehensive Care, P.C. Internal Medicine CurrentSince Aug 1, 2019 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.