Active NPI
Manhal Wadie Tobia, MD
- Internal Medicine Physician
- Lathrup Village, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT68505
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4416833 | Medicaid | MI |
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
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Henry Ford Health West Bloomfield Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT68505 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Semi Medical Group | Internal Medicine | Current | Accepting new patients |
| Henry Ford Semi Medical Group | Internal Medicine | Current | Accepting new patients |
| Henry Ford Semi Medical Group | Current | 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. | Past | Accepting new patients | |
| Care Solutions Group, LLC | Past | 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
- 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.
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1962512202
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
-
- Internal Medicine Physician
- Warren, MI
- NPI 1376644922
-
- Ophthalmology Physician
- Madison Heights, MI
- NPI 1114962461
-
- Case Management Agency
- Royal Oak, MI
- NPI 1467869941
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
- NPI 1780791343
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.