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PETER P. KARPAWICH M.D.
NPI 1174560668
Pediatrics - Pediatric Cardiology in Detroit, MI

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
3901 BEAUBIEN - 4TH FL, CHILDRENS HOSPITAL OF MICHIGAN, DETROIT, MI 48201(313) 745-5484(313) 966-2423 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter P. Karpawich M.d. NPPES

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

PETER P. KARPAWICH M.D. (NPI 1174560668) is an individual pediatric cardiology provider in Detroit, Michigan, licensed in Michigan (4301047463) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Hahneman Medical College Of The Pacific (1975).

NPPES Registry Identity

NPI1174560668
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NamePETER P. KARPAWICHCredential: M.D.
Location Address3901 BEAUBIEN - 4TH FL, CHILDRENS HOSPITAL OF MICHIGANDetroit, MI 48201
Mailing Address4201 St. Antoine - Uhc 5d Mailbox 226, University PediatriciansDetroit, MI 48201-2153 · (313) 745-4405 · Fax (313) 966-0665
Phone(313) 745-5484
Fax(313) 966-2423
Sole ProprietorNo
Medical School CMSHahneman Medical College Of The PacificGraduated 1975
Enumeration DateJune 1, 2006
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1174560668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MI · 4301047463
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
3901 BEAUBIEN - 4TH FL, Detroit, MI 48201
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Other Identifiers 5

OtherPK047463Champus-champus
OtherPK047463Commercial-commercial Number
Medicaid410069510MI
Other700H262280Blue Cross-blue Cross
Medicare UPINB48362

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 ›

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

Peter P. Karpawich M.d. 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 ID9638264765
PECOS Enrollment IDI20071003000745
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 3

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

NITHI FERNANDES MD
Pediatrics (Neonatal-Perinatal Medicine)
3901 BEAUBIEN - 4TH FL, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Wayne County (313) 745-5638
CHENNI S SRIRAM M.D.
Pediatrics (Pediatric Cardiology)
3901 BEAUBIEN - 4TH FL, CHILDRENS HOSPITAL OF MI
DETROIT, MI 48201
Wayne County (313) 745-5484
POOJA GUPTA M.D.
Pediatrics (Pediatric Cardiology)
3901 BEAUBIEN - 4TH FL, CHILDRENS HOSPITAL OF MI
DETROIT, MI 48201
Wayne County (313) 745-5484

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 Peter Karpawich's NPI number?

The NPI number for Peter Karpawich is 1174560668. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Peter Karpawich located?

Peter Karpawich practices at 3901 Beaubien - 4th Fl Childrens Hospital Of Michigan, Detroit, MI 48201. The listed phone number is (313) 745-5484.

What is Peter Karpawich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Peter Karpawich enrolled in Medicare?

Yes. Peter Karpawich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Karpawich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Peter Karpawich 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 Peter Karpawich was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.