Active NPI
Deanne Elizabeth Kiba, DO, FAARFM
- Preventive Medicine/Occupational Environmental Medicine Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- OS22337
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 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
Enrollment records 1
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
Practice addresses (Care Compare)
3950 S Rochester Rd
Suite 1200
Rochester Hills, MI 48307-5169
Phone (586) 210-3200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3307946 | MI | MD | Family Medicine Physician |
| OS22337 | FL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Urgent Care PC | Current | Accepting new patients | |
| Shelby Urgent Care PC | Single Specialty | Current | Accepting new patients |
Locations
51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082
Interoperability endpoints
- deanne.kiba.1@19637.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Shelby Township, MI
- NPI 1225692387
-
- Urgent Care Clinic/Center
- Shelby TWP, MI
- NPI 1083998421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.