PEDIATRIC ENT CLINIC OF MICHIGAN
NPI 1538568696
Otolaryngology - Pediatric Otolaryngology in Dearborn, MI

NPI Status: Active since August 14, 2014

Contact Information

18181 OAKWOOD BLVD STE 202
DEARBORN, MI
ZIP 48124
Phone: (248) 652-2240
Fax: (248) 659-1861

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  • Organization
  • Otolaryngology
  • Pediatric Otolaryngology
  • CLIA Number: 23D0956761
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-03-2027

About PEDIATRIC ENT CLINIC OF MICHIGAN

This page provides the complete NPI Profile along with additional information for Pediatric Ent Clinic Of Michigan, a provider established in Dearborn, Michigan operating as a Otolaryngology, focusing in pediatric otolaryngology . The healthcare provider is registered in the NPI registry with number 1538568696 assigned on August 2014. The practitioner's primary taxonomy code is 207YP0228X with license number 4301082703 (MI). The provider is registered as an organization and their NPI record was last updated 11 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 provider's is doing business as Pediatric Ent Clinic Of Michigan. The authorized official of this NPI record is James Coticchia (President)

NPI
1538568696
Provider Legal Name
JAMES COTICCHIA, M.D., P.C.
Other Organization Name
PEDIATRIC ENT CLINIC OF MICHIGAN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18181 OAKWOOD BLVD STE 202 DEARBORN, MI 48124
Location Phone
(248) 652-2240
Location Fax
(248) 659-1861
Mailing Address
18181 OAKWOOD BLVD STE 202 DEARBORN, MI 48124
Mailing Phone
(248) 652-2240
Mailing Fax
(248) 659-1861
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2014
Last Update Date
05-29-2015
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Location Map

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

Otolaryngology Pediatric Otolaryngology

Taxonomy Code
207YP0228X
Type
Allopathic & Osteopathic Physicians
License No.
4301082703
License State
MI
Taxonomy Description
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

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:

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

JAMES COTICCHIA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 652-2240

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
11043425001MEDICAID (05)MI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0956761
Facility Type
Physician Office
Certificate Effective Date
February 04, 2025
Certificate Expiration Date
February 03, 2027
Laboratory Director
LORETTE HADDAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Ent Clinic Of Michigan to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1538568696, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 3 → 6 5 → 10 → 1 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 1 + 0 + 6 + 1 + 6 + 6 + 1 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1538568696.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538568696, enumerated as an "organization" on August 14, 2014.

The provider is located at 18181 OAKWOOD BLVD STE 202 DEARBORN, MI 48124 and the phone number is (248) 652-2240.

Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.