VERNOR PEDIATRIC PC
NPI 1073010625
Pediatrics - Adolescent Medicine in Detroit, MI

Q: What is Vernor Pediatric PC's NPI number?

The NPI number for Vernor Pediatric PC is 1073010625. It was assigned to this organization in the NPPES registry on April 10, 2018. The provider was formerly known as Karmo Pediatric Center.

Q: What is Vernor Pediatric PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since April 10, 2018CLIA 23D2147657 · Waiver

4607 W VERNOR HWY, DETROIT, MI 48209(313) 554-3300(313) 554-3303 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 10, 2021, Apr 10, 2018 (2 updates tracked since 2018).

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About Vernor Pediatric Pc NPPES

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

VERNOR PEDIATRIC PC (NPI 1073010625), doing business as Karmo Pediatric Center, is a healthcare organization registered as an adolescent medicine in Detroit, Michigan and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Teresa Ball, Cpc, as its authorized official.

NPPES Registry Identity

NPI1073010625

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameVERNOR PEDIATRIC PC

Location Address4607 W VERNOR HWYDetroit, MI 48209-2117

Mailing Address26206 W 12 Mile Rd Ste 106Southfield, MI 48034-1799 · (248) 354-1600 · Fax (248) 354-1604

Phone(313) 554-3300

Fax(313) 554-3303

Organization SubpartYesParent: Karmo Pediatric Center

Authorized OfficialTeresa BallCpc · (734) 839-6610

Enumeration DateApril 10, 2018

Last NPPES UpdateJune 10, 20212 updates tracked since enumeration

NPPES CertifiedJune 10, 2021

✔ NPI 1073010625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in MI · NK069655

Definition

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.

4607 W VERNOR HWY, Detroit, MI 48209

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Other Names 1

Former Legal Business NameKarmo Pediatric Center

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 23D2147657

Vernor Pediatric PC · Detroit, MI

Active · expires Apr 23, 2028

CLIA Number23D2147657

Laboratory TypePhysician Office

Certificate Effective DateApril 24, 2026

Certificate Expiration DateApril 23, 2028

Laboratory DirectorNibras R. Karmo

Laboratory Phone(313) 554-3300

Laboratory LocationVernor Pediatric PC4607 W Vernor Highway, Detroit, MI 48209

CLIA data matches this NPI record on: Address 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 Vernor Pediatric PC's NPI number?

The NPI number for Vernor Pediatric PC is 1073010625. It was assigned to this organization in the NPPES registry on April 10, 2018. The provider was formerly known as Karmo Pediatric Center.

Where is Vernor Pediatric PC located?

Vernor Pediatric PC is located at 4607 W Vernor Hwy, Detroit, MI 48209. The listed phone number is (313) 554-3300.

What is Vernor Pediatric PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Vernor Pediatric PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2147657) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vernor Pediatric PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Vernor Pediatric 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 Vernor Pediatric PC was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.