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VILLAGE PEDIATRICS PLLC
NPI 1962780767
Pediatrics - Adolescent Medicine in Beverly Hills, MI

Active since July 27, 2011CLIA 23D0365302 · Waiver
31815 SOUTHFIELD RD, SUITE 14, BEVERLY HILLS, MI 48025(248) 644-5626(248) 644-5497 Get Directions Write a Review

NPPES record last updated: July 27, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Village Pediatrics Pllc NPPES

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

VILLAGE PEDIATRICS PLLC (NPI 1962780767) is a healthcare organization registered as an adolescent medicine in Beverly Hills, Michigan and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Herbert J Roth, President, as its authorized official.

NPPES Registry Identity

NPI1962780767
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameVILLAGE PEDIATRICS PLLC
Location Address31815 SOUTHFIELD RD, SUITE 14Beverly Hills, MI 48025-5471
Mailing Address31815 Southfield Rd, Suite 14Beverly Hills, MI 48025-5471 · (248) 644-5626 · Fax (248) 644-5497
Phone(248) 644-5626
Fax(248) 644-5497
Organization SubpartNo
Authorized OfficialHerbert J RothPresident · (248) 644-5626
Enumeration DateJuly 27, 2011
✔ NPI 1962780767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
31815 SOUTHFIELD RD, Beverly Hills, MI 48025
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Other Identifiers 2

Medicaid1568452761MI
Medicaid1053574954MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

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 of Waiver 23D0365302

Village Pediatrics PLLC · Beverly Hills, MI
Active · expires Jun 3, 2028
CLIA Number23D0365302
Laboratory TypeIndependent
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorMarlene M. Roth
Laboratory Phone(248) 644-2700
Laboratory LocationVillage Pediatrics PLLC31815 Southfield Road Suite 10, Beverly Hills, MI 48025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MEDICAL VILLAGE OPTICAL SHOPPE INC.
Technician/Technologist (Optician)
31815 SOUTHFIELD RD, SUITE #12
BEVERLY HILLS, MI 48025
Oakland County (248) 645-2220
DR. MARLENE MARGARET ROTH M.D.
Pediatrics
31815 SOUTHFIELD RD, SUITE 14
BEVERLY HILLS, MI 48025
Oakland County (248) 644-2700
MEDICAL VILLAGE OPTICAL SHOPPE INC
Optometrist
31815 SOUTHFIELD RD, SUITE 12
BEVERLY HILLS, MI 48025
Oakland County (248) 645-2220
DR. KALPANA S SHAH MD
Pediatrics
31815 SOUTHFIELD RD, STE 14
BEVERLY HILLS, MI 48025
Oakland County (248) 644-5626
LINDSAY HORDS MA CCC SLP
Speech-Language Pathologist
31815 SOUTHFIELD RD
BEVERLY HILLS, MI 48025
Oakland County (248) 703-3070
LANORE P. NAJOR, PLLC
Internal Medicine
31815 SOUTHFIELD RD, SUITE 12
BEVERLY HILLS, MI 48025
Oakland County (248) 646-8166
HERBERT J ROTH AND KALPANA SHAH MD PC
Pediatrics
31815 SOUTHFIELD RD, STE 14
BEVERLY HILLS, MI 48025
Oakland County (248) 644-5626
DR. GEORGE DOSKORIS D.D.S.
Dentist (General Practice)
31815 SOUTHFIELD RD, SUITE 23
BEVERLY HILLS, MI 48025
Oakland County (248) 646-0700

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 Village Pediatrics PLLC's NPI number?

The NPI number for Village Pediatrics PLLC is 1962780767. It was assigned to this organization in the NPPES registry on July 27, 2011.

Where is Village Pediatrics PLLC located?

Village Pediatrics PLLC is located at 31815 Southfield Rd Suite 14, Beverly Hills, MI 48025. The listed phone number is (248) 644-5626.

What is Village Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Village Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0365302) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Village Pediatrics PLLC 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 list Village Pediatrics PLLC 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 Village Pediatrics PLLC was last updated on July 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.