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DEXTER PEDIATRICS LLC
NPI 1235506908
Pediatrics in Detroit, MI

Active since August 28, 2015CLIA 23D0371018 · Waiver
12632 DEXTER AVE, DETROIT, MI 48238(586) 776-4185 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dexter Pediatrics Llc NPPES

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

DEXTER PEDIATRICS LLC (NPI 1235506908) is a healthcare organization registered as a pediatrics in Detroit, Michigan and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Satish Ravilal Mehta, Member, as its authorized official.

NPPES Registry Identity

NPI1235506908
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEXTER PEDIATRICS LLC
Location Address12632 DEXTER AVEDetroit, MI 48238-3340
Mailing Address12632 Dexter AveDetroit, MI 48238-3340 · (586) 776-4185
Phone(586) 776-4185
Organization SubpartNo
Authorized OfficialSatish Ravilal MehtaMember · (313) 378-4620
Enumeration DateAugust 28, 2015
✔ NPI 1235506908 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.
12632 DEXTER AVE, Detroit, MI 48238
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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 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 23D0371018

Dexter Pediatrics · Detroit, MI
Active · expires Mar 31, 2028
CLIA Number23D0371018
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorSatish R. Mehta
Laboratory Phone(313) 868-7700
Laboratory LocationDexter Pediatrics12632 Dexter Avenue, Detroit, MI 48238
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JINWOO YOO M.D.
Pediatrics (Adolescent Medicine)
12632 DEXTER AVE
DETROIT, MI 48238
Wayne County (313) 868-7700
MS. EUN SOOK CHOO-CHOI M.D.
Pediatrics
12632 DEXTER AVE
DETROIT, MI 48238
Wayne County (313) 868-7700

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 Dexter Pediatrics LLC's NPI number?

The NPI number for Dexter Pediatrics LLC is 1235506908. It was assigned to this organization in the NPPES registry on August 28, 2015.

Where is Dexter Pediatrics LLC located?

Dexter Pediatrics LLC is located at 12632 Dexter Ave, Detroit, MI 48238. The listed phone number is (586) 776-4185.

What is Dexter Pediatrics LLC's specialty?

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

Does Dexter Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0371018) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dexter Pediatrics LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dexter Pediatrics LLC 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 Dexter Pediatrics LLC was last updated on August 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.