Individual provider Active NPI

Deanne Elizabeth Kiba, DO, FAARFM

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1508070475
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
OS22337 Issued in FL
Practice address
3950 S Rochester Rd Ste 1200
Rochester Hills, MI 48307-5169
Phone
(586) 210-3200
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0500X OS22337 FL Primary
Family Medicine Physician 207Q00000X 3307946 MI

Addresses

Primary practice location

3950 S Rochester Rd Ste 1200
Rochester Hills, MI 48307-5169

Mailing address

16365 Redington Dr
Redington Beach, FL 33708-1547
Phone (330) 988-2207

Other practice location 1

6013 Wesley Grove Blvd Ste 201G
Wesley Chapel, FL 33544-8424
Phone (813) 428-6555

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
I20160119001977 MI Practitioner - Family Practice 2264507425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Family Care PLLCGroup PAC ID 5890028336, 7 clinicians

Practice addresses (Care Compare)

3950 S Rochester Rd
Suite 1200
Rochester Hills, MI 48307-5169
Phone (586) 210-3200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3307946MIMDFamily Medicine Physician
OS22337FLMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Urgent Care PC CurrentSince Dec 18, 2015 Accepting new patients
Shelby Urgent Care PC Single Specialty CurrentSince Dec 18, 2015 Accepting new patients

Locations

51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082

Interoperability endpoints

  • Direct secure messaging: deanne.kiba.1@19637.direct.athenahealth.com
  • Direct secure messaging: deanne.kiba@sucp-mi.direct.office.nextgen.com

Organizations & group practices 3

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1508070475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16365 REDINGTON DR",
            "city": "REDINGTON BEACH",
            "state": "FL",
            "postal_code": "337081547",
            "telephone_number": "330-988-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S ROCHESTER RD STE 1200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075169",
            "telephone_number": "586-210-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6013 Wesley Grove Blvd Ste 201G",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335448424",
            "country_code": "US",
            "telephone_number": "813-428-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBA",
        "first_name": "DEANNE",
        "middle_name": "ELIZABETH",
        "credential": "DO, FAARFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "OS22337",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "3307946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.