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KIDOLOGY PEDIATRICS PLLC
NPI 1639837917
Pediatrics in Troy, MI

Active since December 03, 2021CLIA 23D2246034 · Waiver
4967 CROOKS RD STE 250, TROY, MI 48098(248) 654-6499 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2022, Jan 17, 2022, Dec 3, 2021 (3 updates tracked since 2021).

About Kidology Pediatrics Pllc NPPES

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

KIDOLOGY PEDIATRICS PLLC (NPI 1639837917) is a healthcare organization registered as a pediatrics in Troy, Michigan and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Neethi R Patel, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1639837917
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDOLOGY PEDIATRICS PLLC
Location Address4967 CROOKS RD STE 250Troy, MI 48098-5809
Mailing Address4967 Crooks Rd Ste 250Troy, MI 48098-5809 · (248) 654-6499
Phone(248) 654-6499
Organization SubpartNo
Authorized OfficialNeethi R PatelOwner/physician · (248) 654-6499
Enumeration DateDecember 3, 2021
Last NPPES UpdateAugust 3, 20233 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1639837917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/CenterTaxonomy 261Q00000X
4967 CROOKS RD STE 250, Troy, MI 48098
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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 23D2246034

Kidology Pediatrics, PLLC · Troy, MI
Active · expires Dec 19, 2027
CLIA Number23D2246034
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorNeethi R. Patel
Laboratory Phone(248) 654-6499
Laboratory LocationKidology Pediatrics, PLLC4967 Crooks Road Suite 250, Troy, MI 48098
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 3

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

DR. ZEENA MOHAMMAD AL-RUFAIE M.D.
Pediatrics
4967 CROOKS RD STE 250
TROY, MI 48098
Oakland County (248) 654-6499
AMANDA MARIE PELLETIER NP
Nurse Practitioner (Pediatrics)
4967 CROOKS RD STE 250
TROY, MI 48098
Oakland County (248) 654-6499
PATRICK MICHAEL FINEGAN DNP, RN, CPNP
Nurse Practitioner (Pediatrics)
4967 CROOKS RD STE 250
TROY, MI 48098
Oakland County (248) 654-6499

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 Kidology Pediatrics PLLC's NPI number?

The NPI number for Kidology Pediatrics PLLC is 1639837917. It was assigned to this organization in the NPPES registry on December 3, 2021.

Where is Kidology Pediatrics PLLC located?

Kidology Pediatrics PLLC is located at 4967 Crooks Rd Ste 250, Troy, MI 48098. The listed phone number is (248) 654-6499.

What is Kidology Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kidology Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2246034) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidology Pediatrics PLLC 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 Kidology Pediatrics PLLC 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 Kidology Pediatrics PLLC was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.