Active NPI
Beth L Nadis, MD
- Pediatrics Physician
- Farmington Hills, MI
National Provider Identifier
1184686677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301405889
- Practice address
- 28300 Orchard Lake Road
Suite 100
Farmington Hills, MI 48334 - Phone
- (248) 855-7510
- Fax
- (248) 855-5626
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301405889 | MI | Primary |
Addresses
Primary practice location
28300 Orchard Lake Road
Suite 100
Farmington Hills, MI 48334
Mailing address
24 Frank Lloyd Wright Dr
Ste J2000
Ann Arbor, MI 48105
Phone (248) 855-7510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1927330 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301405889 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1184686677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "248-855-7510",
"fax_number": "248-855-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28300 ORCHARD LAKE ROAD",
"address_2": "SUITE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48334",
"telephone_number": "248-855-7510",
"fax_number": "248-855-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADIS",
"first_name": "BETH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301405889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1927330",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.