Individual provider Active NPI

Deborah Kathleen Nobani, PA-C

  • Surgical Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1740646447
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601007631 Issued in MI
Practice address
30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone
(248) 280-8550
Fax
(844) 266-0093
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601007631 MI Primary

Addresses

Primary practice location

30575 Woodward Ave
Royal Oak, MI 48073-0980

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158
Phone (833) 667-3627

Other practice location 1

26750 Providence Pkwy Ste 220
Novi, MI 48374-1212
Phone (248) 596-0412

Other practice location 2

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

Other practice location 3

24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 48025-4345
Phone (248) 988-8085

Other practice location 4

45816 Schoenherr Rd
Shelby Twp, MI 48315-6028
Phone (586) 842-2400

Other practice location 5

26025 Lahser Rd
Southfield, MI 48033-2606
Phone (248) 663-1900

Other practice location 6

1350 Kirts Blvd Ste 160
Troy, MI 48084-4852
Phone (248) 244-9426

Other practice location 7

4967 Crooks Rd Ste 100
Troy, MI 48098-5812
Phone (248) 846-8060

Other practice location 8

33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586
Phone (248) 855-7400

Other identifiers 1

IdentifierTypeStateIssuer
1740646447MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deborah.shubeck.1@9974.direct.athenahealth.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304000125 MI Practitioner - Physician Assistant 9335445154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Practice addresses (Care Compare)

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Feb 1, 2017 Accepting new patients
Oakland Orthopaedic Surgeons, PLLC Past Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince Mar 27, 2022 Accepting new patients

Locations

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

24255 W 13 Mile Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 988-8085

26750 Providence Pkwy
Ste 220
Novi, MI 48374
Phone (248) 596-0412

30575 Woodward Ave
Ste 100
Royal Oak, MI 48073
Phone (248) 280-8550

26025 Lahser Rd
Southfield, MI 48033
Phone (248) 663-1900

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

4967 Crooks Rd
Ste 100
Troy, MI 48098
Phone (248) 846-8060

1350 Kirts Blvd
Ste 160
Troy, MI 48084
Phone (248) 244-9426

45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322
Phone (248) 855-7400

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.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1740646447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764158",
            "telephone_number": "833-667-3627",
            "fax_number": "833-972-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730980",
            "telephone_number": "248-280-8550",
            "fax_number": "844-266-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26750 Providence Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741212",
            "country_code": "US",
            "telephone_number": "248-596-0412",
            "fax_number": "833-471-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17877 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480253127",
            "country_code": "US",
            "telephone_number": "248-644-3920",
            "fax_number": "844-598-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24255 W 13 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254345",
            "country_code": "US",
            "telephone_number": "248-988-8085",
            "fax_number": "844-598-9635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45816 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "fax_number": "833-561-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26025 Lahser Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1900",
            "fax_number": "844-598-9633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Kirts Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844852",
            "country_code": "US",
            "telephone_number": "248-244-9426",
            "fax_number": "844-607-0511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-846-8060",
            "fax_number": "833-303-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33200 W 14 Mile Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223586",
            "country_code": "US",
            "telephone_number": "248-855-7400",
            "fax_number": "844-598-9634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBANI",
        "first_name": "DEBORAH",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601007631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740646447",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborah.shubeck.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "athenaOne",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30575 Woodward Ave",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480730980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.