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WAYNE PEDIATRICS INC.
NPI 1760015622
Pediatrics in Detroit, MI

Active since February 19, 2020CLIA 23D2195089 · Microscopy
400 MACK AVE, DETROIT, MI 48201(313) 577-5437 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne Pediatrics Inc. NPPES

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

WAYNE PEDIATRICS INC. (NPI 1760015622) is a healthcare organization registered as a pediatrics in Detroit, Michigan and active in the NPI registry since February 2020. The organization holds a CLIA Microscopy certificate valid through October 5, 2026 and lists Herman Gray, President, as its authorized official.

NPPES Registry Identity

NPI1760015622
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAYNE PEDIATRICS INC.
Location Address400 MACK AVEDetroit, MI 48201-2136
Mailing Address656 Kirby, 4249 F.a.b.Detroit, MI 48202
Phone(313) 577-5437
Organization SubpartNo
Authorized OfficialHerman GrayPresident · (313) 577-3231
Enumeration DateFebruary 19, 2020
✔ NPI 1760015622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
400 MACK AVE, Detroit, MI 48201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 23D2195089

Wayne Pediatrics, Inc · Detroit, MI
Active · expires Oct 5, 2026
CLIA Number23D2195089
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorChristopher A. Youngman
Laboratory Phone(313) 448-9600
Laboratory LocationWayne Pediatrics, Inc400 Mack Avenue Suite 1 East, Detroit, MI 48201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

HANNA ROSE PERONE MD, MPH
Obstetrics & Gynecology
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 448-9650
LISA BRADLEY RN
Registered Nurse
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 448-9650
DR. JOHN W FINN M.D.
Internal Medicine (Hematology & Oncology)
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 578-5000
SUPPORTIVE CARE SERVICES OF MICHIGAN INC
Nursing Care
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 578-5000
DR. KENDALL BELL MD
Internal Medicine (Cardiovascular Disease)
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 448-9650
OLIVIA SCHIMMEL MD
Family Medicine
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 448-9650
OMER ALRAWI M.D.
Internal Medicine (Nephrology)
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 448-9650
TINA GILPATRIC
Pharmacy Technician
400 MACK AVE
DETROIT, MI 48201
Wayne County (313) 448-9839

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 Wayne Pediatrics Inc.'s NPI number?

The NPI number for Wayne Pediatrics Inc. is 1760015622. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Wayne Pediatrics Inc. located?

Wayne Pediatrics Inc. is located at 400 Mack Ave, Detroit, MI 48201. The listed phone number is (313) 577-5437.

What is Wayne Pediatrics Inc.'s specialty?

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

Does Wayne Pediatrics Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2195089) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayne Pediatrics Inc. 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 Wayne Pediatrics Inc. 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 Wayne Pediatrics Inc. was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.