Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Thomas Convertino, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811570534

Dr. Michael Thomas Convertino, MD is an Internal Medicine in Southfield, Michigan. Qualified in 2020, 6 years ago. Practices with Independent Hospitalist Physicians PLLC, a 62-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22250 Providence Dr Ste 301
Southfield, MI 48075-6211
Phone: (248) 849-3281
Fax: (248) 849-5449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1811570534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESApril 30, 2021
Certification dateApril 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Independent Hospitalist Physicians Pllc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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