PEDIATRIC NEUROSURGERY GROUP, P.C.
NPI 1255476214
Neurological Surgery in Detroit, MI

Active since February 20, 2007
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 833-4490 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Neurosurgery Group, P.c. NPPES

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

PEDIATRIC NEUROSURGERY GROUP, P.C. (NPI 1255476214) is a healthcare organization registered as a neurological surgery in Detroit, Michigan and active in the NPI registry since February 2007. The organization lists Lynique Lechell Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255476214
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePEDIATRIC NEUROSURGERY GROUP, P.C.
Location Address3901 BEAUBIEN STDetroit, MI 48201-2119
Mailing Address3901 Beaubien StDetroit, MI 48201-2119 · (313) 745-0659 · Fax (313) 833-4748
Organization SubpartNo
Authorized OfficialLynique Lechell WilliamsOffice Manager · (313) 745-0659
Enumeration DateFebruary 20, 2007
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1255476214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3901 BEAUBIEN ST, Detroit, MI 48201

Other Identifiers 3

Medicaid4210122MI
Medicaid4160450MI
Medicaid4160459MI

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Neurosurgery Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pediatric Neurosurgery Group, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Neurology
NPI 1417394180
3901 BEAUBIEN ST # 2
Detroit, MI 48201
(313) 833-4490
✔ PECOSSame address
Neurosurgery
NPI 1154302339
3901 BEAUBIEN ST FL 2
Detroit, MI 48201
(313) 833-4490
✔ PECOSSame address
Neurosurgery
NPI 1811303787
9000 W WISCONSIN AVE
Milwaukee, WI 53226
(877) 607-5280
✔ PECOS257 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pediatric Neurosurgery Group, P.C.'s NPI number?

The NPI number for Pediatric Neurosurgery Group, P.C. is 1255476214. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Pediatric Neurosurgery Group, P.C. located?

Pediatric Neurosurgery Group, P.C. is located at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 833-4490.

What is Pediatric Neurosurgery Group, P.C.'s specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Pediatric Neurosurgery Group, P.C. enrolled in Medicare?

Yes. Pediatric Neurosurgery Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Neurosurgery Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pediatric Neurosurgery Group, P.C., in Neurology and Neurosurgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric Neurosurgery Group, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pediatric Neurosurgery Group, 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 Pediatric Neurosurgery Group, P.C. was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.