EASTPOINTE PEDIATRICS
NPI 1669508917
Pediatrics in Eastpointe, MI
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastpointe Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastpointe Pediatrics, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIFrequently 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.
Is Health One Medical Center, Eastpointe LLC enrolled in Medicare?
Yes. Health One Medical Center, Eastpointe LLC is registered in the Medicare PECOS enrollment system.
When is Health One Medical Center, Eastpointe LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Health One Medical Center, Eastpointe LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Health One Medical Center, Eastpointe LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Eastpointe Pediatrics · NPI 1669508917
Pediatrics organization in Eastpointe, Michigan. Organization record, active in the CMS NPPES registry since February 23, 2007.
## Identity
- **NPI:** 1669508917 (Entity type: Organization)
- **Enumerated:** February 23, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Health One Medical Center, Eastpointe Llc
- **Organization subpart:** No
- **Authorized official:** Satish Mehta, PRESIDENT
## Practice location
- **Address:** 21501 KELLY RD, Eastpointe, MI 48021-3213
- **Phone:** (586) 776-4185 · **Fax:** (586) 776-5132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2018
- **Other identifiers:** Medicaid 4546847 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669508917) · Data from the CMS NPPES public registry.