Organization Active NPI

Healthy Kids PLC

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1235636408
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301085754 Issued in MI
Legal business name
HEALTHY KIDS PLC
Practice address
18060 Conant St
Detroit, MI 48234-1628
Phone
(313) 826-0953
Fax
(313) 826-0766
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nidal Ahmed
Title
Billing MGR
Phone
(313) 999-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301085754 MI Primary

Addresses

Primary practice location

18060 Conant St
Detroit, MI 48234-1628

Mailing address

18060 Conant St
Detroit, MI 48234-1628
Phone (313) 826-0953

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2156513Healthy Kids PLC18060 Conant, Detroit, MI 48234Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

18060 Conant St
Detroit, MI 48234
Phone (313) 826-0953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1235636408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18060 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341628",
            "telephone_number": "313-826-0953",
            "fax_number": "313-826-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18060 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341628",
            "telephone_number": "313-826-0953",
            "fax_number": "313-826-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY KIDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "313-999-9510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.