BLOOMFIELD PEDIATRIC CARE
NPI 1700884814
Pediatrics - Adolescent Medicine in Bloomfield Hills, MI
NPI Status: Active since July 12, 2005
Contact Information
43205 WOODWARD AVE
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (248) 451-0600
Fax: (248) 451-0700
- Organization
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
About BLOOMFIELD PEDIATRIC CARE
This page provides the complete NPI Profile along with additional information for Bloomfield Pediatric Care, a pediatrician established in Bloomfield Hills, Michigan operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1700884814 assigned on July 2005. The practitioner's primary taxonomy code is 2080A0000X with license number 4301056543 (MI). The provider is registered as an organization and their NPI record was last updated 15 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 provider's is doing business as Bloomfield Pediatric Care. The authorized official of this NPI record is Dr. Maureen Kelly Md (Owner/physician)
- NPI
- 1700884814
- Provider Legal Name
- MAUREEN A KELLY MD PLLC
- Other Organization Name
- BLOOMFIELD PEDIATRIC CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 43205 WOODWARD AVE BLOOMFIELD HILLS, MI 48302
- Location Phone
- (248) 451-0600
- Location Fax
- (248) 451-0700
- Mailing Address
- PO BOX 44047 DETROIT, MI 48244
- Mailing Phone
- (248) 451-0600
- Mailing Fax
- (248) 451-0700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2005
- Last Update Date
- 06-24-2010
- Code Navigator
A pediatrician like Bloomfield Pediatric Care 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.
Location Map
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 Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301056543
- License State
- MI
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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
- 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
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104183802 | MEDICAID (05) | MI | |
| 1700884814 | MEDICAID (05) | MI | |
| 350F302120 | OTHER (01) | MI | BCN GROUP |
| 350F302120 | OTHER (01) | MI | BC GROUP |
| 1015775 | OTHER (01) | MI | HEALTH ADVANTAGE |
Reviews for BLOOMFIELD PEDIATRIC CARE
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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. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 8 | 4 | 8 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 8 | 8 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 8 + 8 + 8 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1700884814 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1437157955 | DR. SONJA M EARLES MD Individual | Pediatrics | 43205 WOODWARD AVE BLOOMFIELD HILLS, MI 48302 (248) 451-0600 |
| 1609874064 | DR. MAUREEN A KELLY MD Individual | Pediatrics | 43205 WOODWARD AVE BLOOMFIELD HILLS, MI 48302 (248) 451-0600 |
| 1710199864 | DR. JENNIFER GRAY CASTRO D.O Individual | Pediatrics | 43205 WOODWARD AVE BLOOMFIELD HILLS, MI 48302 (248) 451-0600 |
| 1275959652 | KATHLEEN MARIE ASMAR DNP, RN, CPNP-PC Individual | Nurse Practitioner (Pediatrics) | 43205 WOODWARD AVE BLOOMFIELD HILLS, MI 48302 (248) 451-0600 |
| 1174521538 | DR. SHEILA RAO MD Individual | Pediatrics | 43205 WOODWARD AVE BLOOMFIELD HILLS, MI 48302 (248) 451-0600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700884814, enumerated in the NPI registry as an "organization" on July 12, 2005
The provider is located at 43205 Woodward Ave Bloomfield Hills, Mi 48302 and the phone number is (248) 451-0600
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
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.
This NPI record was last updated on July 12, 2005. 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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