Individual provider Active NPI

Stephanie Ann Dublis, D.O.

  • Hematology & Oncology Physician
  • Grand Rapids, MI
National Provider Identifier
1346443769
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
5101019594 Issued in MI
Practice address
145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565
Phone
(616) 486-6700
NPI assigned
Jun 6, 2007
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 5101019594 MI Primary

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 2

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

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
I20110921000768 MI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8527168905 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: 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
Pennock HospitalGroup PAC ID 4587551015, 79 clinicians
Reed City Hospital CorporationGroup PAC ID 6406740695, 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

National Provider Directory

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

Practice roles

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

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

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

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

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: sdublis203244@epic00.shdirect.org
  • Direct secure messaging: sdublis29600@direct.metrohealth.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "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

Sources for this page

Verify at the official NPI Registry.