Organization Active NPI

Childrens Health Center

  • Health Service Clinic/Center
  • Dearborn, MI
National Provider Identifier
1447423447
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4301056496 Issued in MI
Legal business name
CHILDRENS HEALTH CENTER
Practice address
10326 W Warren Ave
Dearborn, MI 48126-1659
Phone
(313) 581-2064
Fax
(313) 581-3590
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Dr. Raghda Chwikani, M.DNPI 1134195480
Title
Medical Director
Phone
(313) 581-2064

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
Health Service Clinic/Center 261QH0100X 4301056496 MI Primary

Addresses

Primary practice location

10326 W Warren Ave
Dearborn, MI 48126-1659

Mailing address

10326 W Warren Ave
Dearborn, MI 48126-1659
Phone (313) 581-2064

Other identifiers 3

IdentifierTypeStateIssuer
3508255982OtherMIBCBSM
700H219830OtherMIBLUE CARE NEWWORK
3180397MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050209000635 MI Part B Supplier - Clinic/Group Practice 8921059718 Receives reassigned benefits from 2 practitioners
Practice locations: Dearborn, MI; Detroit, MI

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
23D0915082Childrens Health Center10326 West Warren Avenue, Dearborn, MI 48126Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

10320 N 56th St
Ste B
Temple Terrace, FL 33617

1215 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6178

10326 W Warren Ave
Dearborn, MI 48126
Phone (313) 581-0710

Practitioners & affiliated clinicians

Practitioners 9

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": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1447423447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10326 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261659",
            "telephone_number": "313-581-2064",
            "fax_number": "313-581-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10326 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261659",
            "telephone_number": "313-581-2064",
            "fax_number": "313-581-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "CHWIKANI",
        "authorized_official_first_name": "RAGHDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-581-2064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "4301056496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "3508255982",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NEWWORK",
            "identifier": "700H219830",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3180397",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.

Verify at the official NPI Registry.