Individual provider Active NPI

Natalie Michelle Hubbell, DO

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1952975161
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101026248APP21 Issued in MI
Practice address
Detroit Medical Center Gme Office
4201 St. Antoine Uhc-9C
Detroit, MI 48201
Phone
(313) 745-3000
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101026248APP21 MI Primary

Addresses

Primary practice location

Detroit Medical Center Gme Office
4201 St. Antoine Uhc-9C
Detroit, MI 48201

Mailing address

4000 S Dixieland Rd Apt T301
Rogers, AR 72758-1813
Phone (316) 303-2177

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
I20210617001210 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6103226899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026248APP21MIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: natalie.hubbell.1@13014.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1952975161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S DIXIELAND RD APT T301",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581813",
            "telephone_number": "316-303-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DETROIT MEDICAL CENTER GME OFFICE",
            "address_2": "4201 ST. ANTOINE UHC-9C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "NATALIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101026248APP21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.