Individual provider Active NPI

Yoshiko Nito, MD

  • Pediatrics Physician
  • Novi, MI
National Provider Identifier
1710509393
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4351046209 Issued in MI
Practice address
26850 Providence Pkwy Ste 455
Novi, MI 48374-1265
Phone
(248) 465-4847
Fax
(248) 465-4063
NPI assigned
May 18, 2020
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4351046209 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 455
Novi, MI 48374-1265

Mailing address

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 551-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025002653 MI Practitioner - Pediatric Medicine 9830510122 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Pediatrics CurrentSince Oct 18, 2024 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Doctors for Kids, PLC PastSince Jan 1, 2024 Accepting new patients
Doctors for Kids, PLC Pediatrics PastSince Mar 11, 2025 Accepting new patients
Novi Pediatric Associates Pediatrics PastSince Oct 31, 2024 Accepting new patients

Locations

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

1225 S Latson Rd
Ste 300
Howell, MI 48843
Phone (248) 465-4847

26850 Providence Pkwy
Novi, MI 48374
Phone (248) 380-3550

26850 Providence Pkwy
Ste 455
Novi, MI 48374
Phone (248) 465-4847

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1710509393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-3000",
            "fax_number": "248-551-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 455",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741265",
            "telephone_number": "248-465-4847",
            "fax_number": "248-465-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITO",
        "first_name": "YOSHIKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351046209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.