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DEARBORN PEDIATRIC & ADOLESCENT MEDICAL CENTER, PC
NPI 1427056068
Clinic/Center - Primary Care in Dearborn, MI

Active since July 08, 2005CLIA 23D1038537 · Waiver
6620 SCHAEFER RD, DEARBORN, MI 48126(313) 582-3700(313) 582-3301 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dearborn Pediatric & Adolescent Medical Center, Pc NPPES

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

DEARBORN PEDIATRIC & ADOLESCENT MEDICAL CENTER, PC (NPI 1427056068) is a healthcare organization registered as a primary care in Dearborn, Michigan and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Lobna R Elhasan-fakih, President, as its authorized official.

NPPES Registry Identity

NPI1427056068
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDEARBORN PEDIATRIC & ADOLESCENT MEDICAL CENTER, PC
Location Address6620 SCHAEFER RDDearborn, MI 48126-4502
Mailing Address6620 Schaefer RdDearborn, MI 48126-4502 · (313) 582-3700 · Fax (313) 582-3301
Phone(313) 582-3700
Fax(313) 582-3301
Organization SubpartNo
Authorized OfficialLobna R Elhasan-fakihPresident · (313) 582-3700
Enumeration DateJuly 8, 2005
Last NPPES UpdateJanuary 5, 2011
✔ NPI 1427056068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 4301064108
6620 SCHAEFER RD, Dearborn, MI 48126
Open in Google Maps ↗

Other Identifiers 2

Medicaid3479230MI
Medicaid4713462MI

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 23D1038537

Dearborn Pediatric & Adolescent Medical Center PC Attn Office Manager · Dearborn, MI
Active · expires Mar 21, 2027
CLIA Number23D1038537
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorLobna Elhasan Fakih
Laboratory Phone(313) 792-8200
Laboratory LocationDearborn Pediatric & Adolescent Medical Center PC Attn Office Manager2547 Monroe, Dearborn, MI 48124
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MARISSA MARIE JOHNSON P.A.-C.
Physician Assistant (Medical)
6620 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 582-3700
DEARBORN SPECIALTY PHARMACY INC
Pharmacist
6620 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 477-9777
MRS. ABEIR FOUAD BEYDOUN RPH
Pharmacist
6620 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 582-6040

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 Dearborn Pediatric & Adolescent Medical Center, PC's NPI number?

The NPI number for Dearborn Pediatric & Adolescent Medical Center, PC is 1427056068. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is Dearborn Pediatric & Adolescent Medical Center, PC located?

Dearborn Pediatric & Adolescent Medical Center, PC is located at 6620 Schaefer Rd, Dearborn, MI 48126. The listed phone number is (313) 582-3700.

What is Dearborn Pediatric & Adolescent Medical Center, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Dearborn Pediatric & Adolescent Medical Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1038537) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dearborn Pediatric & Adolescent Medical Center, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dearborn Pediatric & Adolescent Medical Center, 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 Dearborn Pediatric & Adolescent Medical Center, PC was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.