PAVADEE POOWUTTIKUL M.D.
NPI 1952582314
Pediatrics - Pediatric Allergy/Immunology in Detroit, MI

Q: What is Pavadee Poowuttikul's NPI number?

The NPI number for Pavadee Poowuttikul is 1952582314. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Q: What is Pavadee Poowuttikul's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Active since November 14, 2007PECOS EnrolledAccepts Medicare Assignment

3950 BEAUBIEN - 3RD FL, CHILDRENS HOSPITAL OF MI, DETROIT, MI 48201(313) 832-8550(313) 993-8685 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Pavadee Poowuttikul M.d. NPPES

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

PAVADEE POOWUTTIKUL M.D. (NPI 1952582314) is an individual pediatric allergy/immunology provider in Detroit, Michigan, licensed in Michigan (4301090387) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Children's Hospital Of Michigan, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1952582314

Entity TypeIndividualFemale

Primary Taxonomy2080P0201X

Provider Legal NamePAVADEE POOWUTTIKULCredential: M.D.

Location Address3950 BEAUBIEN - 3RD FL, CHILDRENS HOSPITAL OF MIDetroit, MI 48201-2119

Mailing Address4201 St. Antoine - Uhc 5d Mailbox 226, University PediatriciansDetroit, MI 48201-2153 · (313) 745-4405 · Fax (313) 966-0665

Phone(313) 832-8550

Fax(313) 993-8685

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateNovember 14, 2007

Last NPPES UpdateJanuary 20, 2017

✔ NPI 1952582314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in MI · 4301090387

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedPediatricsTaxonomy 208000000X · License 4301090387 (MI)

3950 BEAUBIEN - 3RD FL, Detroit, MI 48201

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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pavadee Poowuttikul M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002070067

PECOS Enrollment IDI20120604000511

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Children's Hospital Of Michigan

Childrens · Detroit, MI

OwnershipProprietary

CMS Certification Number233300

Location3901 Beaubien StreetDetroit, MI 48201 · Wayne County

Emergency services

Other Providers at the Same Location NPPES 7

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

ELIZABETH ANN SECORD MD

Pediatrics (Pediatric Allergy/Immunology)

3950 BEAUBIEN - 3RD FL, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 832-8550

MILIND VISHNU PANSARE MD

Pediatrics (Pediatric Allergy/Immunology)

3950 BEAUBIEN - 3RD FL, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 832-8550

CRISTINA COTRONEI-CASCARDO MD

Allergy & Immunology (Allergy)

3950 BEAUBIEN - 3RD FL, CHILDRENS HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 832-8550

DIVYA SETH MD

Pediatrics (Pediatric Allergy/Immunology)

3950 BEAUBIEN - 3RD FL, CHILDRENS HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 832-8550

ULYSSA HANCOCK

Nurse Practitioner (Pediatrics)

3950 BEAUBIEN - 3RD FL, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 832-8550

DORIS RAFIC TAHA MD

Pediatrics (Pediatric Endocrinology)

3950 BEAUBIEN - 3RD FL, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 832-9220

CHRISTINA MARIE DURKIN CPNP

Nurse Practitioner (Pediatrics)

3950 BEAUBIEN - 3RD FL, CHILDRENS HOSPITAL OF MI
DETROIT, MI 48201

Wayne County (313) 832-9220

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 Pavadee Poowuttikul's NPI number?

The NPI number for Pavadee Poowuttikul is 1952582314. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Pavadee Poowuttikul located?

Pavadee Poowuttikul practices at 3950 Beaubien - 3rd Fl Childrens Hospital Of Mi, Detroit, MI 48201. The listed phone number is (313) 832-8550.

What is Pavadee Poowuttikul's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Pavadee Poowuttikul enrolled in Medicare?

Yes. Pavadee Poowuttikul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pavadee Poowuttikul 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 and 2 other insurers list Pavadee Poowuttikul 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.

Is Pavadee Poowuttikul affiliated with any hospitals?

According to CMS data, Pavadee Poowuttikul is affiliated with Children's Hospital Of Michigan.

When was this NPI record last updated?

The NPPES record for Pavadee Poowuttikul was last updated on January 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.