KAROLINA MAKSIMOWSKI
NPI 1003259250
Pediatrics - Pediatric Emergency Medicine in Detroit, MI

Q: What is Karolina Maksimowski's NPI number?

The NPI number for Karolina Maksimowski is 1003259250. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Karolina Maksimowski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5260(313) 966-0665 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2018, Mar 17, 2018, Oct 18, 2017 and 1 more (4 updates tracked since 2016).

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About Karolina Maksimowski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAROLINA MAKSIMOWSKI (NPI 1003259250) is an individual pediatric emergency medicine provider in Detroit, Michigan, licensed in Michigan (4301114213) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1003259250

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameKAROLINA MAKSIMOWSKI

Location Address3901 BEAUBIEN STDetroit, MI 48201-2119

Mailing Address4201 St. Antoine, Uhc 5d Mailbox 226Detroit, MI 48201-2153 · (313) 745-4405 · Fax (313) 966-0665

Phone(313) 745-5260

Fax(313) 966-0665

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 8, 2013

Last NPPES UpdateAugust 14, 20184 updates tracked since enumeration

✔ NPI 1003259250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MI · 4301114213

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 56541 (CT), 4301114213 (MI), 35128153 (OH)

3901 BEAUBIEN ST, Detroit, MI 48201

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Secondary Practice Locations 3

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-2222

Location 25 Perryridge RdGreenwich, CT 06830-4608 · Phone (203) 863-3000

Location 31 Park StNew Haven, CT 06504-8901 · Phone (203) 785-4081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karolina Maksimowski is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153557913

PECOS Enrollment IDI20180817001256

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NUTRENA TATE CNP

Nurse Practitioner (Pediatrics)