Active NPI
Tobiloba Bamigboje, M.D.
- Internal Medicine Physician
- Pontiac, MI
National Provider Identifier
1912649484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301513736
- Practice address
- 44405 Woodward Ave
Pontiac, MI 48341 - Phone
- (248) 858-6233
- NPI assigned
- Apr 13, 2022
- Reactivated
- Jan 12, 2023
- Sex
- Male
- Sole proprietor
- No
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1053655134
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
NPD (past) Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lanse, MI
- NPI 1558479824
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
Care Compare affiliation Hospital -
- Critical Access Hospital
- Manistique, MI
- NPI 1700805157
Care Compare affiliation Hospital -
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group Michigan PC
Practice addresses (Care Compare)
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3747
Hospital & facility affiliations
- Uphs Marquette DLP Hospital
- Up Health System Portage
- Baraga County Memorial Hospital
- Osf St Francis Hospital and Medical Group
- Schoolcraft Memorial Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902000215 | MI | Practitioner - Internal Medicine | 1658754890 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301513736 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, Michigan, PC | Internal Medicine | Current | Accepting new patients |
| DLP Marquette General Hospital LLC | Past | Accepting new patients | |
| Apogee Medical Group Indiana PC | Internal Medicine | Past | Accepting new patients |
Locations
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301513736 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351049769 | MI |
Addresses
NPPES NPI RegistryPrimary practice location
44405 Woodward Ave
Pontiac, MI 48341
Mailing address
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-6233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2025.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1912649484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-858-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-858-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMIGBOJE",
"first_name": "TOBILOBA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-13",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"deactivation_date": "2023-01-06",
"reactivation_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301513736",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351049769",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.