NPIMap

Stephanie Ann Dublis, D.O.

Individual provider Active NPI Hematology & Oncology Physician · Grand Rapids, MI

NPI 1346443769 · NPPES record last updated Jan 13, 2025

Key facts

NPI
1346443769
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
5101019594 (MI)
Practice address
145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565
Phone
(616) 486-6700
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

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

Medicare Care Compare profile

Specialty
Hematology/Oncology
Also: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Health Primary Care Partners (2,283 clinicians)
Pennock Hospital (79 clinicians)
Newaygo County General Hospital Association (64 clinicians)
Reed City Hospital Corporation (32 clinicians)

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

1005 W Green St
Hastings, MI 49058-1725

2111 12 Mile Rd NW
Sparta, MI 49345-9754
Phone (616) 391-8470

212 S Sullivan Ave
Corewell Health Gerber Hospital
Fremont, MI 49412-1548
Phone (231) 924-1212

230 W Oak St
Corewell Health Gerber Hospital
Fremont, MI 49412-1526
Phone (231) 924-4200

300 N Patterson Rd
Corewell Health Reed City Hospital
Reed City, MI 49677-8041
Phone (231) 832-7170

4499 220TH Ave
Reed City, MI 49677-8593
Phone (231) 832-5817

Hospital & facility affiliations

  • Spectrum Health Hospital · Grand Rapids, MI · CCN 230038
  • Corewell Health Ludington Hospital Hospital · Ludington, MI · CCN 230110
  • Corewell Health Gerber Hospital Hospital · Fremont, MI · CCN 231338
  • Corewell Health Pennock Hospital Hospital · Hastings, MI · CCN 231339
  • Spectrum Health United Hospital Hospital · Greenville, MI · CCN 230035

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110921000768 MI Practitioner - Hematology/Oncology
Practitioner - Internal Medicine		 8527168905 Reassigns benefits to 7 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center of West Michigan Current
since Jan 13, 2025		 Accepting new patients
Spectrum Health United Current
since Jan 13, 2025		 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine Current
since Jan 13, 2025		 Accepting new patients
Memorial Medical Center of West Michigan Current
since Jan 13, 2025		 Accepting new patients
Pennock Hospital Internal Medicine Current
since Jan 13, 2025		 Accepting new patients
Pennock Hospital Internal Medicine Current
since Jan 13, 2025		 Accepting new patients
Spectrum Health United Current
since Jan 13, 2025		 Accepting new patients
Reed City Hospital Corporation Current
since Jan 13, 2025		 Accepting new patients
Reed City Hospital Corporation Current
since Jan 13, 2025		 Accepting new patients
Newaygo County General Hospital Association Current
since Jan 13, 2025		 Accepting new patients
Metropolitan Hospital Internal Medicine Current
since Sep 12, 2011		 Accepting new patients
Metropolitan Hospital Internal Medicine Current
since Sep 12, 2011		 Accepting new patients
Newaygo County General Hospital Association Internal Medicine Current
since Jan 13, 2025		 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine Current
since Jan 13, 2025		 Accepting new patients
Reed City Hospital Corporation Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305

145 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 486-5933

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

1009 W Green St
Hastings, MI 49058
Phone (269) 945-1212

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

4499 220th Ave
Reed City, MI 49677
Phone (231) 832-5817

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

2111 12 Mile Rd NW
Sparta, MI 49345
Phone (616) 391-8470

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: sdublis29600@direct.metrohealth.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 5101019594 MI Yes

Addresses

Primary practice location

145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sdublis203244@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2025.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1346443769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 5200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032565",
            "telephone_number": "616-486-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBLIS",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "5101019594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdublis203244@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "145 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "145 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Hematology & Oncology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.