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CEREAL CITY PEDIATRICS
NPI 1033155692
Pediatrics in Battle Creek, MI

Active since June 21, 2006CLIA 23D0907226 · Accreditation
2545 CAPITAL AVE SW, BATTLE CREEK, MI 49015(269) 969-8723(269) 969-8724 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cereal City Pediatrics NPPES

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

CEREAL CITY PEDIATRICS (NPI 1033155692) is a healthcare organization registered as a pediatrics in Battle Creek, Michigan and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through March 26, 2027 and lists Diane Thomas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033155692
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCEREAL CITY PEDIATRICS
Location Address2545 CAPITAL AVE SWBattle Creek, MI 49015-7120
Mailing Address2545 Capital Ave S.w.Battle Creek, MI 49015 · (269) 969-8723 · Fax (269) 969-8724
Phone(269) 969-8723
Fax(269) 969-8724
Organization SubpartNo
Authorized OfficialDiane ThomasOffice Manager · (269) 969-8723
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 24, 2008
✔ NPI 1033155692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
2545 CAPITAL AVE SW, Battle Creek, MI 49015
Open in Google Maps ↗

Other Identifiers 1

Other350A349860MI · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0907226

Cereal City Pediatrics · Battle Creek, MI
Active · expires Mar 26, 2027
CLIA Number23D0907226
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorAllison Halonen
Laboratory Phone(269) 969-8723
Laboratory LocationCereal City Pediatrics4520 Beckley Road, Battle Creek, MI 49015
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 10

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

BATTLE CREEK FAMILY CARE
Family Medicine
2545 CAPITAL AVE SW, STE 201
BATTLE CREEK, MI 49015
Calhoun County (269) 224-6190
DR. DAVID HARLEY LONG D.D.S.
Dentist (General Practice)
2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 968-4366
MRS. LISA DARLENE LEHMAN PA-C
Physician Assistant (Medical)
2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 969-8723
EVAN GIBSON BAITY ELLIOTT
Physical Therapist
2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (266) 979-3000
MR. LARRY K KEEFER PNP
Nurse Practitioner (Pediatrics)
2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 969-8723
MRS. DANIELLE MARIE EVERETT RN
Registered Nurse (Case Management)
2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 969-8723
MRS. AMY LYNN GOFF LPN
Licensed Practical Nurse
2545 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 969-8723
DR. SHOHREH MOAZAMI IV M.D.
Pediatrics
2545 CAPITAL AVE SW, SUITE 201
BATTLE CREEK, MI 49015
Calhoun County (269) 969-8723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cereal City Pediatrics's NPI number?

The NPI number for Cereal City Pediatrics is 1033155692. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Cereal City Pediatrics located?

Cereal City Pediatrics is located at 2545 Capital Ave SW, Battle Creek, MI 49015. The listed phone number is (269) 969-8723.

What is Cereal City Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Cereal City Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0907226) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cereal City Pediatrics accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Cereal City Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cereal City Pediatrics was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.