WAYNE PEDIATRICS INC.
NPI 1760015622
Pediatrics in Detroit, MI

Active since February 19, 2020
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: October 18, 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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Pediatrics Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Wayne Pediatrics Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Pediatric Medicine
NPI 1740360890
400 MACK AVE STE 1
Detroit, MI 48201
(313) 448-9600
✔ PECOSSame address
Infectious Disease
NPI 1588866404
3901 BEAUBIEN ST 5TH FLOOR CARL'S BLDG
Detroit, MI 48201
(313) 745-5862
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1235661083
3901 BEAUBIEN ST
Detroit, MI 48201
(313) 745-1892
✔ PECOS0.3 mi
Psychiatry
NPI 1679633549
3901 CHRYSLER SERVICE DR
Detroit, MI 48201
(313) 993-3434
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1750337135
3950 BEAUBIEN 3RD FLOOR
Detroit, MI 48201
(313) 832-9220
✔ PECOS0.3 mi
Allergy/Immunology
NPI 1275550287
3950 BEAUBIEN - 3RD FL CHILDRENS HOSPITAL OF MI
Detroit, MI 48201
(313) 832-8550
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1659319770
3950 BEAUBIEN CHILDREN'S HOSPITAL OF MI
Detroit, MI 48201
(313) 832-8290
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1609814722
3950 BEAUBIEN - 1ST FL CHILDRENS HOSPITAL OF MI
Detroit, MI 48201
(313) 832-8290
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1528272028
6410 FANNIN ST STE 500
Houston, TX 77030
(832) 325-7111
✔ PECOS1,110 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 23D2195089

Wayne Pediatrics, Inc · Detroit, MI
Expired · 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.

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.

Is Wayne Pediatrics Inc. enrolled in Medicare?

Yes. Wayne Pediatrics Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayne Pediatrics Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Wayne Pediatrics Inc.. 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. The largest specialties are Pediatric Medicine (6), Allergy/Immunology (1) and Infectious Disease (1). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wayne Pediatrics Inc. accept?

Health plans from 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.