Active NPI
Kidology Pediatrics PLLC
- Pediatrics Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- KIDOLOGY PEDIATRICS PLLC
- Practice address
- 4967 Crooks Rd Ste 250
Troy, MI 48098-5809 - Phone
- (248) 654-6499
- NPI assigned
- Dec 3, 2021
- Last updated
- Aug 3, 2023
- 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
- Neethi R Patel, DO
- Title
- Owner/Physician
- Phone
- (248) 654-6499
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
4967 Crooks Rd Ste 250
Troy, MI 48098-5809
Mailing address
4967 Crooks Rd Ste 250
Troy, MI 48098-5809
Phone (248) 654-6499
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 |
|---|---|---|---|
| 23D2246034 | Kidology Pediatrics, PLLC | Certificate of waiver | Dec 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
4967 Crooks Rd
Ste 250
Troy, MI 48098
Phone (248) 633-2025
Interoperability endpoints
- https://api.platform.athenahealth.com/25404/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
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
- Troy, MI
- NPI 1396812541
-
- Pediatrics Physician
- Troy, MI
- NPI 1104042084
-
- Pediatric Nurse Practitioner
- Troy, MI
- NPI 1982334439
-
- Pediatrics Physician
- Troy, MI
- NPI 1265798417
-
- Pediatric Nurse Practitioner
- Troy, MI
- NPI 1902656978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1639837917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 CROOKS RD STE 250",
"city": "TROY",
"state": "MI",
"postal_code": "480985809",
"telephone_number": "248-654-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4967 CROOKS RD STE 250",
"city": "TROY",
"state": "MI",
"postal_code": "480985809",
"telephone_number": "248-654-6499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDOLOGY PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-03",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "NEETHI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "248-654-6499",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.