DEARBORN ALLERGY & ASTHMA CLINIC PC
NPI 1477545200
Allergy & Immunology - Clinical & Laboratory Immunology in Dearborn, MI

NPI Status: Active since August 18, 2005

Contact Information

20200 OUTER DR
DEARBORN, MI
ZIP 48124
Phone: (313) 565-3565
Fax: (313) 565-7723

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  • Organization
  • Allergy & Immunology
  • Clinical & Laboratory Immunology
  • Accepts Insurance

About DEARBORN ALLERGY & ASTHMA CLINIC PC

This page provides the complete NPI Profile along with additional information for Dearborn Allergy & Asthma Clinic Pc, a provider established in Dearborn, Michigan operating as a Allergy & Immunology, focusing in clinical & laboratory immunology . The healthcare provider is registered in the NPI registry with number 1477545200 assigned on August 2005. The practitioner's primary taxonomy code is 207KI0005X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Kathy Short (Office Manager)

NPI
1477545200
Provider Name
DEARBORN ALLERGY & ASTHMA CLINIC PC
Entity Type
Organization
Location Address
20200 OUTER DR DEARBORN, MI 48124
Location Phone
(313) 565-3565
Location Fax
(313) 565-7723
Mailing Address
20200 OUTER DR DEARBORN, MI 48124
Mailing Phone
(313) 565-3565
Mailing Fax
(313) 565-7723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2005
Last Update Date
04-24-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology Clinical & Laboratory Immunology

Taxonomy Code
207KI0005X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KATHY SHORT

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(313) 565-3565

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0H26340OTHER (01)MIBLUE CROSS
B46304MEDICARE UPIN (02)MI 
2838806MEDICAID (05)MI 
1083483MEDICAID (05)MI 
1290003MEDICAID (05)MI 
F27419MEDICARE UPIN (02)MI 
0H26340MEDICARE ID-TYPE UNSPECIFIED (04)MI 
A76754MEDICARE UPIN (02)MI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477545200, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 0 + 4 + 1 + 0 + 2 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1477545200.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physician Assistant
20200 OUTER DR
DEARBORN, MI 48124
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124
Physician Assistant
20200 OUTER DR
DEARBORN, MI 48124
Physician Assistant (Medical)
20200 OUTER DR
DEARBORN, MI 48124
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477545200, enumerated as an "organization" on August 18, 2005.

The provider is located at 20200 OUTER DR DEARBORN, MI 48124 and the phone number is (313) 565-3565.

Allergy & Immunology with taxonomy code 207KI0005X and a focus in Clinical & Laboratory Immunology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.