Active NPI
Amy Lum Tobin, DO
- Endocrinology, Diabetes & Metabolism Physician
- Sterling Heights, MI
National Provider Identifier
1093743007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 5101010948
- Practice address
- 38731 Mound Road
Suite 200
Sterling Heights, MI 48310-3210 - Phone
- (586) 939-8480
- Fax
- (586) 939-8487
- NPI assigned
- Jun 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 5101010948 | MI | Primary |
| Nuclear Imaging & Therapy Physician | 207UN0902X | 5101010948 | MI |
Addresses
Primary practice location
38731 Mound Road
Suite 200
Sterling Heights, MI 48310-3210
Mailing address
38731 Mound Road
Suite 200
Sterling Heights, MI 48310-3210
Phone (586) 939-8480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3290719/11 | Medicaid | MI | |
| 0H26347 | Other | MI | BCBS |
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
- Endocrinology
- Education
- Michigan State University College of Human Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
43494 Woodward Ave
Suite 208
Bloomfield Hills, MI 48302-5054
Phone (248) 335-7740
Hospital & facility affiliations
- Trinity Health Oakland Hospital
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Northwestern Medicine Central Dupage Hospital
- McLaren Oakland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010948 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grunberger Diabetes Medical Center, PC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
43494 Woodward Ave
Ste 2
Bloomfld Hls, MI 48302
43494 Woodward Ave
Ste 208
Bloomfld Hls, MI 48302
Phone (248) 335-7740
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield Hills, MI
- NPI 1215154497
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1093743007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38731 MOUND ROAD",
"address_2": "SUITE 200",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103210",
"telephone_number": "586-939-8480",
"fax_number": "586-939-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38731 MOUND ROAD",
"address_2": "SUITE 200",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103210",
"telephone_number": "586-939-8480",
"fax_number": "586-939-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "AMY",
"middle_name": "LUM",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "5101010948",
"primary": true
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "MI",
"license": "5101010948",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3290719/11",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0H26347",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.