Individual provider Active NPI

Martin Gustavo Tapia, MD

  • Hematology & Oncology Physician
  • Royal Oak, MI
National Provider Identifier
1821207671
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301087620 Issued in MI
Practice address
3577 W 13 Mile Rd
Suite 103
Royal Oak, MI 48073-6710
Phone
(248) 288-4500
Fax
(248) 288-0450
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301087620 MI
Hematology & Oncology Physician 207RH0003X 4301087620 MI Primary

Addresses

Primary practice location

3577 W 13 Mile Rd
Suite 103
Royal Oak, MI 48073-6710

Mailing address

3577 W 13 Mile Rd
Suite 103
Royal Oak, MI 48073-6710
Phone (248) 288-4500

Other identifiers 1

IdentifierTypeStateIssuer
1821207671MedicaidMI

Other names 1

  • Dr. Martin Gustavo Tapia Postigo Former name

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
I20140129001744 MI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7416104831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Oncology Network PLLC Hematology & Oncology CurrentSince Aug 1, 2012 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2014 Accepting new patients
Beaumont Medical Group- Specialty Services Past Accepting new patients
Phoenix Rising Healthcare Past Accepting new patients

Locations

6770 Dixie Hwy
Ste 106A
Clarkston, MI 48346
Phone (248) 625-2071

6770 Dixie Hwy
Ste 107
Clarkston, MI 48346
Phone (248) 625-7506

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

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

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

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

3601 W 13 Mile Rd
Ste Bcc
Royal Oak, MI 48073
Phone (248) 551-3300

3577 W 13 Mile Rd
Ste 103
Royal Oak, MI 48073
Phone (248) 288-4500

3601 W 13 Mile Rd
Royal Oak, MI 48073

3577 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-5490

4550 Investment Dr
Ste B120
Troy, MI 48098
Phone (248) 267-6569

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1325 Locust Ave
#15
Fairmont, WV 26554
Phone (304) 366-0111

1325 Locust Ave
Ste 15
Fairmont, WV 26554
Phone (304) 366-0111

Interoperability endpoints

  • Direct secure messaging: mtapia1258350@epic00.shdirect.org

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1821207671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD",
            "address_2": "SUITE 103",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-4500",
            "fax_number": "248-288-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD",
            "address_2": "SUITE 103",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-4500",
            "fax_number": "248-288-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "MARTIN",
        "middle_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087620",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301087620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821207671",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIN",
            "last_name": "TAPIA POSTIGO",
            "middle_name": "GUSTAVO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.