VAN C. MOMON M.D.
NPI 1942357751
Pediatrics in Dearborn, MI
About Van C. Momon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VAN C. MOMON M.D. (NPI 1942357751) is an individual pediatrics provider in Dearborn, Michigan, licensed in Michigan (4301047888) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Van C. Momon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Van Momon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 1,886 clinicians in this Medicare group
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 48126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
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 Van Momon's NPI number?
The NPI number for Van Momon is 1942357751. It was assigned to this individual provider in the NPPES registry on January 4, 2007.
Where is Van Momon located?
Van Momon practices at Henry Ford Health System 5500 Auto Club Drive, Suite 160, Dearborn, MI 48126. The listed phone number is (313) 425-4700.
What is Van Momon's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Van Momon enrolled in Medicare?
Yes. Van Momon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Van Momon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Van Momon reassigns Medicare benefits to Henry Ford Health System (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 Van Momon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Van Momon was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Van C. Momon, M.D. · NPI 1942357751
Pediatrics physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1942357751 (Entity type: Individual)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301047888 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** HENRY FORD HEALTH SYSTEM, 5500 AUTO CLUB DRIVE, SUITE 160, Dearborn, MI 48126
- **Phone:** (313) 425-4700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Henry Ford Health System (NPI 1003990318, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2021
- **Other identifiers:** Medicaid 175499010 (MI); Other VM047888; Other 700H262280; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1942357751) · Data from the CMS NPPES public registry.