Individual provider Active NPI

Thomas Pence Boike, M.D.

  • Radiation Oncology Physician
  • Detroit, MI
National Provider Identifier
1699970525
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301086290 Issued in MI
Practice address
2800 W Grand Blvd
Detroit, MI 48202-2610
Phone
(800) 436-7936
NPI assigned
Jun 20, 2007
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301086290 MI Primary
Radiation Oncology Physician 2085R0001X N5580 TX

Addresses

Primary practice location

2800 W Grand Blvd
Detroit, MI 48202-2610

Mailing address

PO Box 670884
Detroit, MI 48267-0884
Phone (800) 436-7936

Other practice location 1

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4209

Other practice location 2

6770 Dixie Hwy Ste 106
Clarkston, MI 48346-2088
Phone (248) 625-0300

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
I20110420000396 MI Practitioner - Radiation Oncology 2365575164 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086290MIMDRadiation Oncology Physician
N5580TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncologic Associates of Michigan, PC Radiation Oncology CurrentSince Jan 21, 2019 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 21, 2019 Accepting new patients
Alliance Physician Services of Michigan, P.C. Radiation Oncology CurrentSince Jul 31, 2023 Accepting new patients
West Michigan Cancer Center Radiation Oncology Current Accepting new patients
West Michigan Cancer Center Radiation Oncology CurrentSince Dec 10, 2018 Accepting new patients
Michigan Institute of Urology PC CurrentSince Jul 31, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 21, 2019 Accepting new patients

Locations

6770 Dixie Hwy
Ste 106
Clarkston, MI 48346
Phone (248) 625-0300

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

27900 Grand River Ave
Ste 230
Farmington Hills, MI 48336
Phone (248) 473-4828

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453

70 Fulton St
Pontiac, MI 48341
Phone (248) 338-0300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

130 Town Center Dr
Ste 200
Troy, MI 48084
Phone (248) 740-0670

4550 Investment Dr
Ste B111
Troy, MI 48098
Phone (248) 952-5019

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1699970525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884",
            "telephone_number": "800-436-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022610",
            "telephone_number": "800-436-7936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Connable Ave",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702212",
            "country_code": "US",
            "telephone_number": "231-487-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6770 Dixie Hwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462088",
            "country_code": "US",
            "telephone_number": "248-625-0300",
            "fax_number": "248-625-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOIKE",
        "first_name": "THOMAS",
        "middle_name": "PENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301086290",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "N5580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.