Individual provider Active NPI

Martin A Tuma, MD

  • Vascular Surgery Physician
  • Southfield, MI
National Provider Identifier
1154331858
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
041055 Issued in MI
Practice address
23077 Greenfield Rd
Suite 110
Southfield, MI 48075-3709
Phone
(947) 282-6304
Fax
(248) 796-8182
NPI assigned
Aug 8, 2006
Last updated
May 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 041055 MI
Vascular Surgery Physician 2086S0129X 041055 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd
Suite 110
Southfield, MI 48075-3709

Mailing address

23077 Greenfield Rd
Suite 110
Southfield, MI 48075-3709
Phone (947) 282-6304

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
I20091130000107 MI Practitioner - Vascular SurgeryPractitioner - General Surgery 2466591763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Wayne State University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23077 Greenfield Rd
Suite 110
Southfield, MI 48075-3744
Phone (947) 282-6304

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041055MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin a V Tuma MD Vascular Surgery PLLC Vascular Surgery CurrentSince Aug 26, 2009 Accepting new patients
VHS Harper-Hutzel Hospital Inc Past Accepting new patients
Tel-12 Pharmacy LLC Past Accepting new patients

Locations

23077 Greenfield Rd
Ste 110
Southfield, MI 48075
Phone (947) 282-6304

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1154331858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "947-282-6304",
            "fax_number": "248-796-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "947-282-6304",
            "fax_number": "248-796-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMA",
        "first_name": "MARTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "041055",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "041055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.