TRESTLEWOOD PEDIATRICS, P.C.
NPI 1407068695
Pediatrics in Portage, MI

Q: What is Trestlewood Pediatrics, P.C.'s NPI number?

The NPI number for Trestlewood Pediatrics, P.C. is 1407068695. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is Trestlewood Pediatrics, P.C.'s specialty?

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

Active since May 03, 2007CLIA 23D0376943 · Waiver

5082 LOVERS LANE, PORTAGE, MI 49002(269) 381-0118(269) 381-4610 Get Directions Write a Review

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

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About Trestlewood Pediatrics, P.c. NPPES

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

TRESTLEWOOD PEDIATRICS, P.C. (NPI 1407068695) is a healthcare organization registered as a pediatrics in Portage, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robert Page, President, as its authorized official.

NPPES Registry Identity

NPI1407068695

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameTRESTLEWOOD PEDIATRICS, P.C.

Location Address5082 LOVERS LANEPortage, MI 49002

Mailing Address5082 Lovers LanePortage, MI 49002 · (269) 381-0118 · Fax (269) 381-4610

Phone(269) 381-0118

Fax(269) 381-4610

Organization SubpartNo

Authorized OfficialRobert PagePresident · (269) 381-0118

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407068695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · RP050795

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.

5082 LOVERS LANE, Portage, MI 49002

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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 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 23D0376943

Trestlewood Pediatrics · Portage, MI

Active · expires Aug 31, 2026

CLIA Number23D0376943

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAnthony J. Van Es

Laboratory Phone(269) 381-0118

Laboratory LocationTrestlewood Pediatrics5082 Lovers Lane, Portage, MI 49002

CLIA data matches this NPI record on: Address 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 Trestlewood Pediatrics, P.C.'s NPI number?

The NPI number for Trestlewood Pediatrics, P.C. is 1407068695. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Trestlewood Pediatrics, P.C. located?

Trestlewood Pediatrics, P.C. is located at 5082 Lovers Lane, Portage, MI 49002. The listed phone number is (269) 381-0118.

What is Trestlewood Pediatrics, P.C.'s specialty?

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

Does Trestlewood Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0376943) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trestlewood Pediatrics, P.C. 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 Trestlewood Pediatrics, 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 Trestlewood Pediatrics, 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.