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ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC
NPI 1235638651
Family Medicine in Bad Axe, MI

Active since February 12, 2018CLIA 23D2148109 · Waiver
262 S PT CRESCENT ST, BAD AXE, MI 48413(989) 493-9327(989) 623-0172 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2025, Oct 2, 2023, Feb 12, 2018 (3 updates tracked since 2018).

About Rostam Adult And Pediatric Medicine Pllc NPPES

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

ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC (NPI 1235638651) is a healthcare organization registered as a family medicine in Bad Axe, Michigan and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through May 2, 2028, maintains a secondary practice location in Bad Axe, and lists Behzod Rostam, Owner, as its authorized official.

NPPES Registry Identity

NPI1235638651
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSTAM ADULT AND PEDIATRIC MEDICINE PLLC
Location Address262 S PT CRESCENT STBad Axe, MI 48413-9635
Mailing Address1121 Carrie Lynn DrBay City, MI 48706-9399 · (248) 930-6442
Phone(989) 493-9327
Fax(989) 623-0172
Organization SubpartNo
Authorized OfficialBehzod RostamOwner · (248) 930-6442
Enumeration DateFebruary 12, 2018
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1235638651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
262 S PT CRESCENT ST, Bad Axe, MI 48413
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Secondary Practice Location 1

Location 11080 S Van Dyke RdBad Axe, MI 48413-9635 · Phone (248) 930-6442

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 23D2148109

Rostam Adult And Pediatric Medicine · Bad Axe, MI
Active · expires May 2, 2028
CLIA Number23D2148109
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorMichelle L. Macdowall
Laboratory Phone(989) 493-9327
Laboratory LocationRostam Adult And Pediatric Medicine262 S Port Crescent Street, Bad Axe, MI 48413
CLIA data matches this NPI record on: 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 Rostam Adult And Pediatric Medicine PLLC's NPI number?

The NPI number for Rostam Adult And Pediatric Medicine PLLC is 1235638651. It was assigned to this organization in the NPPES registry on February 12, 2018.

Where is Rostam Adult And Pediatric Medicine PLLC located?

Rostam Adult And Pediatric Medicine PLLC is located at 262 S Pt Crescent St, Bad Axe, MI 48413. The listed phone number is (989) 493-9327.

What is Rostam Adult And Pediatric Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rostam Adult And Pediatric Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2148109) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rostam Adult And Pediatric Medicine PLLC 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 list Rostam Adult And Pediatric Medicine PLLC 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 Rostam Adult And Pediatric Medicine PLLC was last updated on May 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.