Organization Active NPI

Highland Pediatrics

  • Pediatrics Physician
  • Highland, MI
National Provider Identifier
1376756239
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
AI064238 Issued in MI
Legal business name
HIGHLAND PEDIATRICS
Practice address
208 W Highland Rd
Ste 100
Highland, MI 48357-4574
Phone
(248) 889-9467
Fax
(586) 773-1211
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Dr. Ardeshir Irani, MDNPI 1497741177
Title
Physician
Phone
(586) 773-1823

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X AI064238 MI Primary

Addresses

Primary practice location

208 W Highland Rd
Ste 100
Highland, MI 48357-4574

Mailing address

208 W Highland Rd
Ste 100
Highland, MI 48357-4574
Phone (248) 889-9467

Other identifiers 3

IdentifierTypeStateIssuer
38582550OtherMITAX ID
4343844MedicaidMI
3506329012OtherMIBCBS

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
23D0981644Highland Pediatrics PC208 W Highland Road Suite 100, Highland, MI 48357Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

208 W Highland Rd
Ste 100
Highland, MI 48357
Phone (248) 889-9467

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1376756239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W HIGHLAND RD",
            "address_2": "STE 100",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574574",
            "telephone_number": "248-889-9467",
            "fax_number": "586-773-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W HIGHLAND RD",
            "address_2": "STE 100",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574574",
            "telephone_number": "248-889-9467",
            "fax_number": "586-773-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "IRANI",
        "authorized_official_first_name": "ARDESHIR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-773-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "AI064238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "38582550",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4343844",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3506329012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.