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MY KIDS PEDIATRIC PARTNERS PC
NPI 1407355472
Pediatrics in Wilkes Barre, PA

Active since February 06, 2018CLIA 39D2147894 · Waiver
1102 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702(570) 235-1470(570) 550-9256 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About My Kids Pediatric Partners Pc NPPES

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

MY KIDS PEDIATRIC PARTNERS PC (NPI 1407355472) is a healthcare organization registered as a pediatrics in Wilkes Barre, Pennsylvania and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Michelle Kunec Sudo, President, as its authorized official.

NPPES Registry Identity

NPI1407355472
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMY KIDS PEDIATRIC PARTNERS PC
Location Address1102 HIGHWAY 315 BLVDWilkes Barre, PA 18702-6943
Mailing Address1102 Highway 315 BlvdWilkes Barre, PA 18702-6943 · (570) 235-1470 · Fax (570) 550-9256
Phone(570) 235-1470
Fax(570) 550-9256
Organization SubpartNo
Authorized OfficialMichelle Kunec SudoPresident · (570) 235-1470
Enumeration DateFebruary 6, 2018
Last NPPES UpdateMarch 20, 20182 updates tracked since enumeration
✔ NPI 1407355472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · OS009616-L
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.
1102 HIGHWAY 315 BLVD, Wilkes Barre, PA 18702
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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 Health, Ambetter Health of Delaware.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 39D2147894

My Kids Pediatric Partners PC · Wilkes Barre, PA
Active · expires Apr 29, 2028
CLIA Number39D2147894
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorDr. Michele K. Sudo
Laboratory Phone(570) 235-1470
Laboratory LocationMy Kids Pediatric Partners PC1102 Highway 315 Blvd, Wilkes Barre, PA 18702
CLIA data matches this NPI record on: Address Name Phone
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.

DR. MICHELLE K SUDO DO
Pediatrics
1102 HIGHWAY 315 BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 235-1470
MARISSA AUTUMN MARINO CRNP
Nurse Practitioner (Family)
1102 HIGHWAY 315 BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 235-1470

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 My Kids Pediatric Partners PC's NPI number?

The NPI number for My Kids Pediatric Partners PC is 1407355472. It was assigned to this organization in the NPPES registry on February 6, 2018.

Where is My Kids Pediatric Partners PC located?

My Kids Pediatric Partners PC is located at 1102 Highway 315 Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 235-1470.

What is My Kids Pediatric Partners PC's specialty?

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

Does My Kids Pediatric Partners PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2147894) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does My Kids Pediatric Partners PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list My Kids Pediatric Partners PC 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 My Kids Pediatric Partners PC was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.