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PEDIATRIC & ADOLESCENT CENTER
NPI 1235284233
Pediatrics in Southgate, MI

Active since January 23, 2007CLIA 23D1005530 · Waiver
15255 NORTHLINE RD, SOUTHGATE, MI 48195(734) 285-3090(734) 285-3095 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric & Adolescent Center NPPES

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

PEDIATRIC & ADOLESCENT CENTER (NPI 1235284233) is a healthcare organization registered as a pediatrics in Southgate, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Dinesh Nayak, President Of The Corporation, as its authorized official.

NPPES Registry Identity

NPI1235284233
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDR. DINESH NAYAK, MD, P.C.
Location Address15255 NORTHLINE RDSouthgate, MI 48195-2487
Mailing Address15255 Northline RdSouthgate, MI 48195-2487 · (734) 285-3090 · Fax (734) 285-3095
Phone(734) 285-3090
Fax(734) 285-3095
Organization SubpartNo
Authorized OfficialDinesh NayakPresident Of The Corporation · (734) 285-3090
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235284233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · DN065279
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.
15255 NORTHLINE RD, Southgate, MI 48195
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Other Names 1

Doing Business AsPediatric & Adolescent Center

Other Identifiers 5

Other132436Care Choices Id
Other5885732Aetna
OtherC7880Mcare Id
Medicaid4433530MI
Other022809Midwest Health Plan

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 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 23D1005530

Pediatric & Adolescent Center · Southgate, MI
Active · expires Sep 30, 2027
CLIA Number23D1005530
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDinesh Nayak
Laboratory Phone(734) 285-3090
Laboratory LocationPediatric & Adolescent Center15555 Northline Road, Southgate, MI 48195
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. DEBORAH JANE COLLIER-BARSTAD M.S.N.
Nurse Practitioner (Pediatrics)
15255 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 285-3090
DR. ZOE K DEOL MD
Surgery
15255 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-8916
MRS. TONYA MARIA SCHMITT NP
Nurse Practitioner (Pediatrics)
15255 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 285-3090

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 Dr. Dinesh Nayak, MD, P.C.'s NPI number?

The NPI number for Dr. Dinesh Nayak, MD, P.C. is 1235284233. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Pediatric & Adolescent Center.

Where is Dr. Dinesh Nayak, MD, P.C. located?

Dr. Dinesh Nayak, MD, P.C. is located at 15255 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 285-3090.

What is Dr. Dinesh Nayak, MD, P.C.'s specialty?

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

Does Dr. Dinesh Nayak, MD, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1005530) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dr. Dinesh Nayak, MD, P.C. 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 Dr. Dinesh Nayak, MD, P.C. 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 Dr. Dinesh Nayak, MD, P.C. was last updated on August 22, 2020. 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.