Active NPI
Pediatric Consultants of Troy, P.C.
- Pediatrics Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC CONSULTANTS OF TROY, P.C.
- Practice address
- 633 South Blvd E Ste 2400
Rochester Hills, MI 48307-5471 - Phone
- (248) 879-5570
- Fax
- (248) 879-2235
- NPI assigned
- Jul 30, 2006
- Last updated
- Oct 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth A Dubina
- Title
- MD
- Phone
- (248) 879-6749
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
633 South Blvd E Ste 2400
Rochester Hills, MI 48307-5471
Mailing address
633 South Blvd E Ste 2400
Rochester Hills, MI 48307-5471
Phone (248) 879-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210512002922 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224447768 | Practice locations: Rochester Hills, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0366207 | Pediatric Consultants of Troy | Compliance | Aug 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
633 South Blvd E
Ste 2400
Rochester Hills, MI 48307
Phone (248) 879-5570
44199 Dequindre Rd
Ste 222
Troy, MI 48085
Phone (248) 879-5570
Interoperability endpoints
- https://api.platform.athenahealth.com/14995/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Rochester Hills, MI
- NPI 1538166434
-
- Pediatrics Physician
- Rochester Hills, MI
- NPI 1972590677
-
- Pediatrics Physician
- Troy, MI
- NPI 1467660779
-
- Pediatrics Physician
- Rochester Hills, MI
- NPI 1952389561
-
- Medical Physician Assistant
- Troy, MI
- NPI 1902356454
-
- Pediatrics Physician
- Troy, MI
- NPI 1285631184
-
- Pediatrics Physician
- Troy, MI
- NPI 1982733259
-
- Pediatrics Physician
- Troy, MI
- NPI 1154329712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635379200000",
"number": "1003821661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 SOUTH BLVD E STE 2400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075471",
"telephone_number": "248-879-5570",
"fax_number": "248-879-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 SOUTH BLVD E STE 2400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075471",
"telephone_number": "248-879-5570",
"fax_number": "248-879-2235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC CONSULTANTS OF TROY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A",
"authorized_official_last_name": "DUBINA",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "248-879-6749"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.