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DR. NORRIS CARNELL POLK M.D.
NPI 1841445640
Pediatrics in Detroit, MI

Active since November 20, 2008PECOS Enrolled
790 SAINT CLAIR ST, DETROIT, MI 48214(313) 673-5970 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Dr. Norris Carnell Polk M.d. NPPES

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

DR. NORRIS CARNELL POLK M.D. (NPI 1841445640) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (48255) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841445640
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. NORRIS CARNELL POLKCredential: M.D.
Location Address790 SAINT CLAIR STDetroit, MI 48214-3660
Mailing Address13334 E Jefferson AveDetroit, MI 48215-2719 · (313) 499-8812 · Fax (313) 960-8480
Phone(313) 673-5970
Sole ProprietorYes
Enumeration DateNovember 20, 2008
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1841445640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 48255
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.
790 SAINT CLAIR ST, Detroit, MI 48214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Norris Carnell Polk M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Norris Polk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Detroit Central City Community Mental Health, Inc.
4.3 mi
Federally Qualified Health Center (FQHC)
10 PETERBORO ST
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group
NPI 1861813685 (313) 578-6123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Norris Polk's NPI number?

The NPI number for Norris Polk is 1841445640. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Norris Polk located?

Norris Polk practices at 790 Saint Clair St, Detroit, MI 48214. The listed phone number is (313) 673-5970.

What is Norris Polk's specialty?

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

Is Norris Polk enrolled in Medicare?

Yes. Norris Polk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Norris Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Norris Polk reassigns Medicare benefits to Detroit Central City Community Mental Health, Inc. (Detroit, MI). The 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 Norris Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Norris Polk accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Norris Polk 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 Norris Polk was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.