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BRANCH PEDIATRIC&ADOLESCENT MEDICINEPC
NPI 1497130132
Pediatrics - Adolescent Medicine in Coldwater, MI

Active since July 23, 2015CLIA 23D2103297 · Waiver
390 E CHICAGO ST, COLDWATER, MI 49036(616) 818-9750 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2021, Nov 24, 2015 (2 updates tracked since 2015).

About Branch Pediatric&adolescent Medicinepc NPPES

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

BRANCH PEDIATRIC&ADOLESCENT MEDICINEPC (NPI 1497130132) is a healthcare organization registered as an adolescent medicine in Coldwater, Michigan and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Mehalai Arivoli, President, as its authorized official.

NPPES Registry Identity

NPI1497130132
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBRANCH PEDIATRIC&ADOLESCENT MEDICINEPC
Location Address390 E CHICAGO STColdwater, MI 49036-2062
Mailing Address390 E Chicago StColdwater, MI 49036-2062 · (616) 818-9750
Phone(616) 818-9750
Organization SubpartNo
Authorized OfficialMehalai ArivoliPresident · (517) 924-1465
Enumeration DateJuly 23, 2015
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1497130132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MI · 065709
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
390 E CHICAGO ST, Coldwater, MI 49036
Open in Google Maps ↗

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 23D2103297

Branch Pediatric & Adolescent Medicine PC · Coldwater, MI
Active · expires Oct 8, 2027
CLIA Number23D2103297
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorMehalai Arivoli
Laboratory Phone(517) 924-1465
Laboratory LocationBranch Pediatric & Adolescent Medicine PC390 E Chicago Street, Coldwater, MI 49036
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 4

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

DR. MEHALAI ARIVOLI MD
Pediatrics
390 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 924-1465
SU NEYMAN NP
Nurse Practitioner
390 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 924-1465
BRANCH PEDIATRICS
Clinic/Center (Primary Care)
390 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 924-1465
JESSICA DICKINSON
Nurse Practitioner (Family)
390 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 924-1465

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 Branch Pediatric&adolescent Medicinepc's NPI number?

The NPI number for Branch Pediatric&adolescent Medicinepc is 1497130132. It was assigned to this organization in the NPPES registry on July 23, 2015.

Where is Branch Pediatric&adolescent Medicinepc located?

Branch Pediatric&adolescent Medicinepc is located at 390 E Chicago St, Coldwater, MI 49036. The listed phone number is (616) 818-9750.

What is Branch Pediatric&adolescent Medicinepc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Branch Pediatric&adolescent Medicinepc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2103297) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Branch Pediatric&adolescent Medicinepc 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 Branch Pediatric&adolescent Medicinepc 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 Branch Pediatric&adolescent Medicinepc was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.