Active NPI
Linda M Dubay MD PLLC
- Surgery Physician
- Novi, MI
National Provider Identifier
1679617419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LD053074
- Legal business name
- LINDA M DUBAY MD PLLC
- Practice address
- 26850 Providence Pkwy
Ste 504
Novi, MI 48374-1213 - Phone
- (248) 662-4333
- Fax
- (248) 662-3022
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda M. Dubay, M. D.
- Title
- President/Physician
- Phone
- (248) 662-4333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LD053074 | MI | Primary |
Addresses
Primary practice location
26850 Providence Pkwy
Ste 504
Novi, MI 48374-1213
Mailing address
26850 Providence Pkwy
Ste 504
Novi, MI 48374-1213
Phone (248) 662-4333
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103881 | Other | MI | GREAT LAKES |
| 312461 | Other | MI | PRORITY HEALTH |
| 1679617419 | Medicaid | MI | |
| 020F369860 | Other | MI | BCBS GROUP |
| 0206368471 | Other | MI | BC |
| 0206368471 | Other | MI | BCN |
| F57526 | Other | MI | HAP |
| 020F369860 | Other | MI | BCN GROUP |
| 025832 | Other | MI | MIDWEST HEALTH PLAN |
| 4361872 | Other | MI | AETNA |
| 112457004 | Other | MI | UNITED HEALTH PLAN |
| DP1484 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22250 Providence Dr
Ste 700
Southfield, MI 48075
Phone (248) 559-5115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Novi, MI
- NPI 1770591786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261008000000",
"number": "1679617419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "STE 504",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-662-4333",
"fax_number": "248-662-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "STE 504",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-662-4333",
"fax_number": "248-662-3022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA M DUBAY MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2009-12-17",
"status": "A",
"authorized_official_last_name": "DUBAY",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "248-662-4333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "LD053074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "103881",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRORITY HEALTH",
"identifier": "312461",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679617419",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "020F369860",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "0206368471",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "0206368471",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "F57526",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN GROUP",
"identifier": "020F369860",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "025832",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4361872",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "112457004",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DP1484",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.