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MIKIDS PEDIATRICS, PC
NPI 1043722176
Pediatrics in Caledonia, MI

Active since October 30, 2017CLIA 23D2142336 · Waiver
7150 KALAMAZOO AVE SE, SUITE A, CALEDONIA, MI 49316(616) 818-7454(616) 818-7455 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2019, Nov 15, 2018, Oct 30, 2017 (3 updates tracked since 2017).

About Mikids Pediatrics, Pc NPPES

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

MIKIDS PEDIATRICS, PC (NPI 1043722176) is a healthcare organization registered as a pediatrics in Caledonia, Michigan and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through January 8, 2028, maintains a secondary practice location in Kentwood, and lists Nicole Garbacik, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043722176
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMIKIDS PEDIATRICS, PC
Location Address7150 KALAMAZOO AVE SE, SUITE ACaledonia, MI 49316
Mailing Address7150 Kalamazoo Ave Se, Suite ACaledonia, MI 49316-9126 · (616) 818-7454 · Fax (616) 818-7455
Phone(616) 818-7454
Fax(616) 818-7455
Organization SubpartNo
Authorized OfficialNicole GarbacikCredentialing Specialist · (616) 235-4800
Enumeration DateOctober 30, 2017
Last NPPES UpdateMarch 4, 20193 updates tracked since enumeration
✔ NPI 1043722176 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.
7150 KALAMAZOO AVE SE, Caledonia, MI 49316
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Secondary Practice Location 1

Location 14540 Kalamazoo Ave SEKentwood, MI 49508-4625 · Phone (616) 318-9677

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 Waiver 23D2142336

Mikids Pediatrics, PC · Caledonia, MI
Active · expires Jan 8, 2028
CLIA Number23D2142336
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorStephen S. Mcmahon
Laboratory Phone(616) 818-7454
Laboratory LocationMikids Pediatrics, PC7150 Kalamazoo Ave SE Suite A, Caledonia, MI 49316
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

LARSON DBT COUNSELING SERVICES PLLC
Psychologist (Counseling)
7150 KALAMAZOO AVE SE, SUITE C
CALEDONIA, MI 49316
Kent County (616) 780-1289
JULIA GOMEZ OT
Occupational Therapist
7150 KALAMAZOO AVE SE
CALEDONIA, MI 49316
Kent County (616) 333-1800
CLEAR VISIONS COUNSELING
Counselor
7150 KALAMAZOO AVE SE, SUITE C
CALEDONIA, MI 49316
Kent County (616) 466-8357
WESLEY KEITH WASHINGTON LPC
Counselor
7150 KALAMAZOO AVE SE, SUITE C
CALEDONIA, MI 49316
Kent County (616) 219-0159
CLARK INSTITUTE PSYCHOLOGY PLLC
Psychologist
7150 KALAMAZOO AVE SE, SUITE C
CALEDONIA, MI 49316
Kent County (616) 219-0159
MATTHEW DAVID AYERS CLARK PSY.D., FLP
Psychologist
7150 KALAMAZOO AVE SE, STE C
CALEDONIA, MI 49316
Kent County (616) 690-5437
ACORN HILL PSYCHOLOGY PLLC
Psychologist (Clinical)
7150 KALAMAZOO AVE SE, SUITE C
CALEDONIA, MI 49316
Kent County (616) 219-0159

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 Mikids Pediatrics, PC's NPI number?

The NPI number for Mikids Pediatrics, PC is 1043722176. It was assigned to this organization in the NPPES registry on October 30, 2017.

Where is Mikids Pediatrics, PC located?

Mikids Pediatrics, PC is located at 7150 Kalamazoo Ave SE Suite A, Caledonia, MI 49316. The listed phone number is (616) 818-7454.

What is Mikids Pediatrics, PC's specialty?

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

Does Mikids Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2142336) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mikids Pediatrics, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mikids Pediatrics, PC 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 Mikids Pediatrics, PC was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.