KENWOOD ALLERGY & ASTHMA CENTER, P.C.
NPI 1508850777
Clinic/Center - Medical Specialty in Chesterfield, MI

Active since September 02, 2005
30170 23 MILE RD, CHESTERFIELD, MI 48047(586) 949-5900(589) 949-5922 Get Directions Write a Review

NPPES record last updated: July 14, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kenwood Allergy & Asthma Center, P.c. NPPES

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

KENWOOD ALLERGY & ASTHMA CENTER, P.C. (NPI 1508850777) is a healthcare organization registered as a medical specialty in Chesterfield, Michigan and active in the NPI registry since September 2005. The organization lists Pamela A Georgeson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508850777
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameKENWOOD ALLERGY & ASTHMA CENTER, P.C.
Location Address30170 23 MILE RDChesterfield, MI 48047-2190
Mailing Address30170 23 Mile RdChesterfield, MI 48047-2190 · (586) 949-5900 · Fax (589) 949-5922
Fax(589) 949-5922
Organization SubpartNo
Authorized OfficialPamela A GeorgesonOwner · (586) 949-5900
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 14, 2007
✔ NPI 1508850777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
30170 23 MILE RD, Chesterfield, MI 48047

Other Identifiers 1

Medicare ID-Type Unspecified0N50950MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenwood Allergy & Asthma Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Kenwood Allergy & Asthma Center, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Allergy/Immunology
NPI 1619972486
30170 23 MILE RD
Chesterfield, MI 48047
(586) 949-5900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316728165
30170 23 MILE RD
Chesterfield, MI 48047
(586) 949-5900
✔ PECOSSame address
Nurse Practitioner
NPI 1871735563
16800 24 MILE RD SUITE 4
Macomb, MI 48042
(586) 992-9970
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1972162337
48153 VIRGINIA DR
Macomb, MI 48044
(586) 243-4181
✔ PECOS8.5 mi
Allergy/Immunology
NPI 1912083106
21300 KELLY RD
Eastpointe, MI 48021
(586) 447-4200
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1912083114
21300 KELLY ROAD
Eastpointe, MI 48021
(586) 447-4200
✔ PECOS17 mi

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 Kenwood Allergy & Asthma Center, P.C.'s NPI number?

The NPI number for Kenwood Allergy & Asthma Center, P.C. is 1508850777. It was assigned to this organization in the NPPES registry on September 2, 2005.

Where is Kenwood Allergy & Asthma Center, P.C. located?

Kenwood Allergy & Asthma Center, P.C. is located at 30170 23 Mile Rd, Chesterfield, MI 48047. The listed phone number is (586) 949-5900.

What is Kenwood Allergy & Asthma Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Kenwood Allergy & Asthma Center, P.C. enrolled in Medicare?

Yes. Kenwood Allergy & Asthma Center, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenwood Allergy & Asthma Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Kenwood Allergy & Asthma Center, P.C.. 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. The largest specialties are Nurse Practitioner (4) and Allergy/Immunology (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kenwood Allergy & Asthma Center, P.C. 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 Kenwood Allergy & Asthma Center, P.C. 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 Kenwood Allergy & Asthma Center, P.C. was last updated on July 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.