Individual provider Active NPI

Daphne Ponce Tumaneng, D.O.

  • Obstetrics & Gynecology Physician
  • Warren, MI
National Provider Identifier
1417901174
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101015503 Issued in MI
Practice address
11012 E 13 Mile Rd
Warren, MI 48093-2572
Phone
(586) 582-7150
Fax
(586) 582-7164
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 51001 MN
Obstetrics & Gynecology Physician 207V00000X DOS-1250 HI
Obstetrics & Gynecology Physician 207V00000X 5101015503 MI Primary

Addresses

Primary practice location

11012 E 13 Mile Rd
Warren, MI 48093-2572

Mailing address

11012 E 13 Mile Rd
Warren, MI 48093-2572
Phone (586) 582-7150

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
I20060811000471 MI Practitioner - Obstetrics/Gynecology 4587667506 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

11012 E 13 Mile Rd
Suite 212
Warren, MI 48093-2547
Phone (586) 582-7150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology Current Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology CurrentSince Mar 1, 2017 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Aug 1, 2017 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 1, 2023 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 2023 Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology CurrentSince Mar 1, 2017 Accepting new patients
Comprehensive Healthcare for Women, PA Obstetrics & Gynecology PastSince Jan 1, 2002 Accepting new patients
Minnesota Women'S Care, P.a. Obstetrics & Gynecology PastSince Oct 15, 2012 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

3601 W 13 Mile Rd
Royal Oak, MI 48073

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

11012 E 13 Mile Rd
Warren, MI 48093
Phone (586) 573-8890

11012 E 13 Mile Rd
Ste 212
Warren, MI 48093
Phone (586) 582-7090

11900 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5890

11885 E 12 Mile Rd
Ste 202A
Warren, MI 48093
Phone (586) 582-7060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA
  • Direct secure messaging: dtumaneng1156049@direct.hfhs.org

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 and National Provider Directory roles.

View all 15

Hospital & facility affiliations 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1417901174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932572",
            "telephone_number": "586-582-7150",
            "fax_number": "586-582-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932572",
            "telephone_number": "586-582-7150",
            "fax_number": "586-582-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMANENG",
        "first_name": "DAPHNE",
        "middle_name": "PONCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "51001",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "DOS-1250",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101015503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.