Organization Active NPI

Park Pediatrics

  • Primary Care Clinic/Center
  • Allen Park, MI
National Provider Identifier
1801010681
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PARK PEDIATRICS
Practice address
8449 Park Ave Ste 2
Allen Park, MI 48101-1788
Phone
(313) 386-1100
Fax
(313) 735-2403
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Muhammad A Al-Ado, MDNPI 1982792545
Title
Ceo
Phone
(734) 697-2595

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301066704 MI
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8449 Park Ave Ste 2
Allen Park, MI 48101-1788

Mailing address

8449 Park Ave Ste 2
Allen Park, MI 48101-1788
Phone (133) 861-1003

Other identifiers 4

IdentifierTypeStateIssuer
4829332MedicaidMI
BLUE CROSSMedicaidMI
CAPEOtherMI1009B
3508242801OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

Locations

8449 Park Ave
Ste 2
Allen Park, MI 48101
Phone (313) 386-1100

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1801010681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8449 PARK AVE STE 2",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011788",
            "telephone_number": "133-861-1003",
            "fax_number": "734-697-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 PARK AVE STE 2",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011788",
            "telephone_number": "313-386-1100",
            "fax_number": "313-735-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "AL-ADO",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-697-2595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301066704",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4829332",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BLUE CROSS",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1009B",
            "identifier": "CAPE",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3508242801",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.