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HAMTRAMCK PEDIATRICS
NPI 1033408935
Clinic/Center - Primary Care in Hamtramck, MI

Active since March 31, 2011CLIA 23D2021000 · Waiver
12033 CONANT ROAD, HAMTRAMCK, MI 48212(313) 366-4000(313) 366-4001 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hamtramck Pediatrics NPPES

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

HAMTRAMCK PEDIATRICS (NPI 1033408935) is a healthcare organization registered as a primary care in Hamtramck, Michigan and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Moniruzzaman Khan, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1033408935
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHAMTRAMCK PEDIATRICS
Location Address12033 CONANT ROADHamtramck, MI 48212
Mailing Address12033 Conant RoadHamtramck, MI 48212 · (313) 366-4000 · Fax (313) 366-4001
Phone(313) 366-4000
Fax(313) 366-4001
Organization SubpartNo
Authorized OfficialMoniruzzaman KhanPediatrician · (313) 366-4000
Enumeration DateMarch 31, 2011
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1033408935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 4301057394
12033 CONANT ROAD, Hamtramck, MI 48212
Open in Google Maps ↗

Other Identifiers 3

Medicaid4149524MI
OtherG97370MI · Hap Upin Number
Medicare PIN0P13980MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Waiver 23D2021000

Hamtramck Pediatrics · Hamtramck, MI
Active · expires Mar 2, 2027
CLIA Number23D2021000
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorMoniruzzaman Khan
Laboratory Phone(313) 366-4000
Laboratory LocationHamtramck Pediatrics11402 Joseph Campau, Hamtramck, MI 48212
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hamtramck Pediatrics's NPI number?

The NPI number for Hamtramck Pediatrics is 1033408935. It was assigned to this organization in the NPPES registry on March 31, 2011.

Where is Hamtramck Pediatrics located?

Hamtramck Pediatrics is located at 12033 Conant Road, Hamtramck, MI 48212. The listed phone number is (313) 366-4000.

What is Hamtramck Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Hamtramck Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2021000) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hamtramck Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Hamtramck 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 Hamtramck Pediatrics was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.