Tesfamariam Okbay Metiku, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301092621 Issued in MI

Practice address

21409 Kelly Rd Ste 400
Eastpointe, MI 48021-3264

Phone

(586) 777-0630

Fax

(586) 777-0631

NPI assigned

Jul 28, 2009

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 Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmetiku409837@direct.hfhs.org

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.

• Great Lakes Medical Group PC

  • Internal Medicine Physician
  • Eastpointe, MI
  • NPI 1053787853
  Medicare reassignment NPD
• Great Lakes Urgent Care PC of Eastside

  dba Gluce

  • Internal Medicine Physician
  • Eastpointe, MI
  • NPI 1477978930
  Medicare reassignment NPD
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  Medicare reassignment NPD
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  NPD
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1427289339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19928 EDINBERG DR",
            "address_2": "DEPT OF MEDICAL EDUCATION",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21409 KELLY RD STE 400",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213264",
            "telephone_number": "586-777-0630",
            "fax_number": "586-777-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METIKU",
        "first_name": "TESFAMARIAM",
        "middle_name": "OKBAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Leilani McRae, M.D.
• Med-X Pharmacy PC (Med-X Pharmacy)
• Satish R Mehta, MD
• Karen Mary Meloche
• Jada Lynne Merritt
• Metro Medical Home Suppliers
• Michigan Denture & Implant Center PC
• Michigan Orthopedic Services LLC
• Joseph Charles Mifsud, MA, LLP
• Millenium Pain Management & Therapy

• Internal Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.