DAVISON PEDIATRICS PC
NPI 1609165646
Pediatrics in Davison, MI

NPI Status: Active since March 30, 2011

Contact Information

1260 N IRISH RD
STE A
DAVISON, MI
ZIP 48423
Phone: (810) 658-9550
Fax: (810) 658-2202

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 23D0901391
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-22-2027

About DAVISON PEDIATRICS PC

This page provides the complete NPI Profile along with additional information for Davison Pediatrics Pc, a pediatrician established in Davison, Michigan operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1609165646 assigned on March 2011. The practitioner's primary taxonomy code is 208000000X with license number 4301063221 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kamal Hasan Md (Owner)

NPI
1609165646
Provider Name
DAVISON PEDIATRICS PC
Entity Type
Organization
Location Address
1260 N IRISH RD STE A DAVISON, MI 48423
Location Phone
(810) 658-9550
Location Fax
(810) 658-2202
Mailing Address
1260 N IRISH RD STE A DAVISON, MI 48423
Mailing Phone
(810) 658-9550
Mailing Fax
(810) 658-2202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2011
Last Update Date
03-30-2011
Code Navigator

A pediatrician like Davison Pediatrics Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
4301063221
License State
MI
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAMAL HASAN MD

Authorized Official Title
OWNER
Authorized Official Phone
(810) 658-9550

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0901391
Facility Type
Physician Office
Certificate Effective Date
May 23, 2025
Certificate Expiration Date
May 22, 2027
Laboratory Director
KAMAL HASAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Davison Pediatrics Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DAVISON PEDIATRICS PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609165646
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609261068
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 6 + 1 + 0 + 6 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1609165646 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427150168DR. KAMAL S HASAN MD
Individual
Pediatrics1260 N IRISH RD SUITE A
DAVISON, MI 48423
(810) 658-9550
1750886487M SALEEM MD PC
Organization
Internal Medicine1260 N IRISH RD
DAVISON, MI 48423
(810) 653-1400
1922565332DR. PEGGY ANN URSUY PHD, RN, PPCNP-BC
Individual
Nurse Practitioner (Pediatrics)1260 N IRISH RD
DAVISON, MI 48423
(810) 653-1910
1174502975 MOHAMMED A SALEEM MD
Individual
Internal Medicine1260 N IRISH RD STE C
DAVISON, MI 48423
(810) 653-1400
1013657394 POOJA PATEL PA-C
Individual
Physician Assistant1260 N IRISH RD
DAVISON, MI 48423
(810) 653-0899

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609165646, enumerated in the NPI registry as an "organization" on March 30, 2011

The provider is located at 1260 N Irish Rd Ste A Davison, Mi 48423 and the phone number is (810) 658-9550

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D0901391 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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