Individual provider Active NPI

Malgorzata Sobilo, MD

  • Hematology & Oncology Physician
  • Lake Orion, MI
National Provider Identifier
1326013293
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301059551 Issued in MI
Practice address
785 N Lapeer Rd
Lake Orion, MI 48362
Phone
(248) 693-6238
Fax
(248) 693-7649
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301059551 MI Primary

Addresses

Primary practice location

785 N Lapeer Rd
Lake Orion, MI 48362

Mailing address

785 N Lapeer Rd
Lake Orion, MI 48362
Phone (248) 693-6238

Other identifiers 1

IdentifierTypeStateIssuer
0633924OtherMIBCBS

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
I20090528000360 MI Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 3870642598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301059551MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Amnuay Singhakowinta MD PC Current Accepting new patients
Ascension St John Hospital Hematology & Oncology CurrentSince Sep 29, 2020 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Sep 29, 2020 Accepting new patients

Locations

785 N Lapeer Rd
Lake Orion, MI 48362
Phone (248) 690-7093

1901 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4580

22301 Foster Winter Dr
Southfield, MI 48075
Phone (248) 849-3541

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1326013293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 N LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48362",
            "telephone_number": "248-693-6238",
            "fax_number": "248-693-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 N LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48362",
            "telephone_number": "248-693-6238",
            "fax_number": "248-693-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBILO",
        "first_name": "MALGORZATA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301059551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0633924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.