DEARBORN ALLERGY & ASTHMA CLINIC PC
NPI 1477545200
Allergy & Immunology - Clinical & Laboratory Immunology in Dearborn, MI
About Dearborn Allergy & Asthma Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEARBORN ALLERGY & ASTHMA CLINIC PC (NPI 1477545200) is a healthcare organization registered as a clinical & laboratory immunology in Dearborn, Michigan and active in the NPI registry since August 2005. The organization lists Kathy Short, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dearborn Allergy & Asthma Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dearborn Allergy & Asthma Clinic PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Dearborn Allergy & Asthma Clinic PC's NPI number?
The NPI number for Dearborn Allergy & Asthma Clinic PC is 1477545200. It was assigned to this organization in the NPPES registry on August 18, 2005.
Where is Dearborn Allergy & Asthma Clinic PC located?
Dearborn Allergy & Asthma Clinic PC is located at 20200 Outer Dr, Dearborn, MI 48124. The listed phone number is (313) 565-3565.
What is Dearborn Allergy & Asthma Clinic PC's specialty?
The primary specialty registered for this NPI is Allergy & Immunology, specializing in Clinical & Laboratory Immunology, with taxonomy code 207KI0005X.
Is Dearborn Allergy & Asthma Clinic PC enrolled in Medicare?
Yes. Dearborn Allergy & Asthma Clinic PC is registered in the Medicare PECOS enrollment system.
When is Dearborn Allergy & Asthma Clinic PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dearborn Allergy & Asthma Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Allergy/Immunology, reassign their Medicare billing to Dearborn Allergy & Asthma Clinic PC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dearborn Allergy & Asthma Clinic PC 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 Dearborn Allergy & Asthma Clinic 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 Allergy & Asthma Clinic PC was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dearborn Allergy & Asthma Clinic Pc · NPI 1477545200
Clinical & Laboratory Immunology organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since August 18, 2005.
## Identity
- **NPI:** 1477545200 (Entity type: Organization)
- **Enumerated:** August 18, 2005
- **Primary specialty:** Allergy & Immunology - Clinical & Laboratory Immunology · taxonomy 207KI0005X
- **Organization subpart:** No
- **Authorized official:** Kathy Short, OFFICE MANAGER
## Practice location
- **Address:** 20200 OUTER DR, Dearborn, MI 48124-2634
- **Phone:** (313) 565-3565 · **Fax:** (313) 565-7723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Allergy/Immunology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2012
- **Other identifiers:** Other 0H26340 (MI); Medicare UPIN B46304 (MI); Medicaid 2838806 (MI); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1477545200) · Data from the CMS NPPES public registry.