Victor Ubom, DO

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

5101007418 Issued in MI

Practice address

24111 Southfield Rd
Southfield, MI 48075-2817

Phone

(248) 557-8800

Fax

(248) 557-8860

NPI assigned

Jun 25, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Michigan Wound Care and Hyperbaric Institute PC

  • Nurse Practitioner
  • Southfield, MI
  • NPI 1174822233
  NPD (past) Authorized official
• Michigan Wound Care and Hyperbaric Institute PC

  • Vascular Surgery Physician
  • Southfield, MI
  • NPI 1346549409
  Authorized official Same address or phone
• Wound Care Clinics of America PC

  • Vascular Surgery Physician
  • Southfield, MI
  • NPI 1922266808
  Authorized official Same address or phone
• Wound Care Clinics of America, P.C.

  • Nurse Practitioner
  • Southfield, MI
  • NPI 1952469587
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235165770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24111 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752817",
            "telephone_number": "248-557-8800",
            "fax_number": "248-557-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24111 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752817",
            "telephone_number": "248-557-8800",
            "fax_number": "248-557-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBOM",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101007418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tekyra Tyree
• Tyrone Chatman Etal PTR Martrilla Ross Gen PTR (Acupuncture Treatment Concepts)
• Payton Tyrrell
• U P Podiatry
• U.P. Podiatry
• Imo Patricia Udo-Inyang, MD
• Patricia A Uhrin, CRNA
• Essence Latoya Uke, LLMSW
• Uko Ekaiko
• Jude Osagie Ukpebor, PMHNP-BC

• Vascular Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.