Individual provider Active NPI

Manhal Wadie Tobia, MD

  • Internal Medicine Physician
  • Lathrup Village, MI
National Provider Identifier
1730132077
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT68505 Issued in MI
Practice address
18161 W 12 Mile Rd
Ste 2
Lathrup Village, MI 48076
Phone
(248) 552-1200
Fax
(248) 552-1201
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT68505 MI Primary

Addresses

Primary practice location

18161 W 12 Mile Rd
Ste 2
Lathrup Village, MI 48076

Mailing address

18161 W 12 Mile Rd
Ste 2
Lathrup Village, MI 48076
Phone (248) 552-1200

Other identifiers 1

IdentifierTypeStateIssuer
4416833MedicaidMI

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
I20071010000553 MI Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 8325134000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Preventive Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

18161 W 12 Mile Rd
2 Excel Health
Lathrup Village, MI 48076-2662
Phone (248) 552-1200

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT68505MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Henry Ford Semi Medical Group Internal Medicine Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Sep 1, 2017 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Independent Emergency Physicians, P.C. PastSince Oct 12, 2025 Accepting new patients
Care Solutions Group, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

18161 W 12 Mile Rd
Ste 2
Lathrup Village, MI 48076
Phone (248) 552-1200

26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: mtobia1155771@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1730132077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD",
            "address_2": "STE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD",
            "address_2": "STE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIA",
        "first_name": "MANHAL",
        "middle_name": "WADIE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MT68505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4416833",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.