Active NPI
Medical Center Pediatrics PLLC
- Pediatrics Physician
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MEDICAL CENTER PEDIATRICS PLLC
- Practice address
- 30400 Telegraph Rd
Suite 101
Bingham Farms, MI 48025 - Phone
- (248) 642-5437
- Fax
- (248) 642-5456
- NPI assigned
- Sep 16, 2006
- 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
- Susan Sauber, MD
- Title
- Manager
- Phone
- (248) 642-5437
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
30400 Telegraph Rd
Suite 101
Bingham Farms, MI 48025
Mailing address
30400 Telegraph Rd
Suite 101
Bingham Farms, MI 48025
Phone (248) 642-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350F317240 | Other | MI | BCBS M |
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 |
|---|---|---|---|
| 23D0369537 | Medical Center Pediatrics PLLC | Accreditation | Jun 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
30400 Telegraph Rd
Ste 101
Bingham Farms, MI 48025
Phone (248) 642-5437
31600 Telegraph Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 642-5437
5793 W Maple Rd
Ste 153
West Bloomfield, MI 48322
Phone (248) 539-7726
Practitioners & affiliated clinicians
Practitioners 19
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.
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- NPI 1609307289
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- Pediatrics Physician
- West Bloomfield, MI
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647648000000",
"number": "1801992698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30400 TELEGRAPH RD",
"address_2": "SUITE 101",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "48025",
"telephone_number": "248-642-5437",
"fax_number": "248-642-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30400 TELEGRAPH RD",
"address_2": "SUITE 101",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "48025",
"telephone_number": "248-642-5437",
"fax_number": "248-642-5456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A",
"authorized_official_last_name": "SAUBER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-642-5437",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS M",
"identifier": "350F317240",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.