EASTPOINTE PEDIATRICS
NPI 1669508917
Pediatrics in Eastpointe, MI

Active since February 23, 2007CLIA 23D0925041 · Waiver
21501 KELLY RD, EASTPOINTE, MI 48021(586) 776-4185(586) 776-5132 Get Directions Write a Review

NPPES record last updated: April 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastpointe Pediatrics NPPES

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

EASTPOINTE PEDIATRICS (NPI 1669508917) is a healthcare organization registered as a pediatrics in Eastpointe, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2027, maintains 2 additional practice locations, and lists Satish R Mehta, President, as its authorized official.

NPPES Registry Identity

NPI1669508917
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHEALTH ONE MEDICAL CENTER, EASTPOINTE LLC
Location Address21501 KELLY RDEastpointe, MI 48021-3213
Mailing Address21501 Kelly RdEastpointe, MI 48021-3213 · (586) 776-4185 · Fax (586) 776-5132
Fax(586) 776-5132
Organization SubpartNo
Authorized OfficialSatish R MehtaPresident · (586) 776-4185
Enumeration DateFebruary 23, 2007
Last NPPES UpdateApril 15, 2018
NPI 1669508917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 4301065258
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 ListedGeneral PracticeTaxonomy 208D00000X · License 4301065258 (MI)
21501 KELLY RD, Eastpointe, MI 48021

Other Names 1

Doing Business AsEastpointe Pediatrics

Secondary Practice Locations 2

Location 112632 Dexter AveDetroit, MI 48238-3340 · Phone (313) 868-7700 · Fax (313) 868-0303
Location 221225 Kelly Rd, Suite # 4Eastpointe, MI 48021-3100 · Phone (586) 776-4185 · Fax (586) 776-5132

Other Identifiers 1

Medicaid4546847MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 23D0925041

Health One Medical Center Eastpointe · Eastpointe, MI
Active · expires Feb 13, 2027
CLIA Number23D0925041
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorSatish R. Mehta
Laboratory Phone(586) 776-4185
Laboratory LocationHealth One Medical Center Eastpointe21501 Kelly Road, Eastpointe, MI 48021
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.

Family Medicine
21501 KELLY RD
EASTPOINTE, MI 48021
Pediatrics
21501 KELLY RD
EASTPOINTE, MI 48021
Nurse Practitioner (Family)
21501 KELLY RD
EASTPOINTE, MI 48021

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 Health One Medical Center, Eastpointe LLC's NPI number?

The NPI number for Health One Medical Center, Eastpointe LLC is 1669508917. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Eastpointe Pediatrics.

Where is Health One Medical Center, Eastpointe LLC located?

Health One Medical Center, Eastpointe LLC is located at 21501 Kelly Rd, Eastpointe, MI 48021. The listed phone number is (586) 776-4185.

What is Health One Medical Center, Eastpointe LLC's specialty?

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

Does Health One Medical Center, Eastpointe LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0925041) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Health One Medical Center, Eastpointe LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Health One Medical Center, Eastpointe LLC 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 Health One Medical Center, Eastpointe LLC was last updated on April 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.