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VAN C. MOMON M.D.
NPI 1942357751
Pediatrics in Dearborn, MI

Active since January 04, 2007PECOS Enrolled
HENRY FORD HEALTH SYSTEM, 5500 AUTO CLUB DRIVE, SUITE 160, DEARBORN, MI 48126(313) 425-4700 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1942357751
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameVAN C. MOMONCredential: M.D.
Location AddressHENRY FORD HEALTH SYSTEM, 5500 AUTO CLUB DRIVE, SUITE 160Dearborn, MI 48126
Mailing AddressHenry Ford Health System, 5500 Auto Club Drive, Suite 160Dearborn, MI 48126 · (313) 425-4700
Phone(313) 425-4700
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1942357751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301047888
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.
HENRY FORD HEALTH SYSTEM, Dearborn, MI 48126
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Other Identifiers 4

Medicaid175499010MI
OtherVM047888Champus-champus
Other700H262280Blue Cross-blue Cross
OtherVM047888Commercial-commercial Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Van C. Momon 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.

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.

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.

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.

DR. DOSS NICOLAS DOSS M.D.
Pediatrics
HENRY FORD HEALTH SYSTEM, 5500 AUTO CLUB DR
DEARBORN, MI 48126
Wayne County (313) 425-4700
KATHLEEN B. BLUMER M.D.
Pediatrics
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330
GERALDINE JACKSON M.D.
Obstetrics & Gynecology
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330
DR. PRADEEP SRINIVAS BHANDARKAR M.D.
Surgery
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, SUITE#202
DEARBORN, MI 48126
Wayne County (313) 982-8419
DR. LEILA RAJA HAJJAR-NOLAN M.D.
Obstetrics & Gynecology
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330
AMJAD M. FARHA M.D.
Internal Medicine (Cardiovascular Disease)
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8261
RANDALL R. WALTER M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8370
PETE K. JANEVSKI M.D.
Plastic Surgery
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330

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.

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.