Delta Renal Group, P.C.
NPI 1407863194ActiveOrganization· Internal Medicine, Nephrology· Southfield, MI
Internal Medicine, Nephrology in Southfield, Michigan, registered in NPPES in August 2006. The authorized official on file is Boniface Atakekor Tubie, M.D., President/ Coe. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407863194 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 4301072901 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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