Delphi Dialysis Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

DELPHI DIALYSIS CORPORATION

Practice address

20755 Greenfield Rd Ste 203
Southfield, MI 48075-5405

Phone

(248) 395-2206

Fax

(248) 395-0456

NPI assigned

Jan 25, 2022

Organization subpart

Yes

Parent organization

DELTA RENAL GROUP, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Boniface A Tubie, MD

Title

President/Ceo

Phone

(248) 395-2206

Specialties & licenses 1

Addresses

Other names 1

• DELPHI DIALYSIS CORPORATION Doing business as

Part of

Delta Renal Group PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Delta Renal Group, P.C.

  • Nephrology Physician
  • Southfield, MI
  • NPI 1407863194
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alisa Haygood

  • Research Study Abstracter/Coder
  • Detroit, MI
  • NPI 1639821101
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1821740465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD STE 203",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755405",
            "telephone_number": "248-395-2206",
            "fax_number": "248-395-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD STE 203",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755405",
            "telephone_number": "248-395-2206",
            "fax_number": "248-395-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELPHI DIALYSIS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTA RENAL GROUP, P.C.",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "TUBIE",
        "authorized_official_first_name": "BONIFACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-395-2206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELPHI DIALYSIS CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Yanira Dejesus
• Victoria Del Rosario
• Benjamin Delaney, PMHNP-BC
• Carson Delany
• Myrna S Deleon, MD
• Delta Home Health Care LLC
• Delta Renal Group, P.C.
• Que K Deluna, RPH
• Deluxe Dental Associates 6 Southfield PLLC
• Madison Delvaux

• Nephrology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.