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Export Provider Record NPI 1063513943
Nuga Pediatrics Lenawee, Pllc
Organization Subpart: NO
Active
NPI Number1063513943
NPI TypeNPI-2 Organization
SpecialtyPediatrics
Provider Details
NPI1063513943
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-09-26
Last Updated2008-08-05
Authorized OfficialAdekoyejo Adenuga
PHYSICIAN
Phone: 5172651981
Mailing Address901 Kimole Ln, Ste B2
Adrian, MI 49221-1491
United States
Phone: (517) 265-1981 | Fax: (517) 263-1001
📍 View Map
Primary Practice Address901 Kimole Ln, Ste B2
Adrian, MI 49221-1491
United States
Phone: (517) 265-1981 | Fax: (517) 263-1001
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MI03774PARAMOUNT HEALTHCARE
Other (non-Medicare)MI0461056BCBS PROVIDER #
Other (non-Medicare)MI101149GREAT LAKES HEALTH PLAN
MEDICAIDMI4843556
Other (non-Medicare)MI5697HEALTH PLAN OF MICHIGAN
Other (non-Medicare)=========TAX ID
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsMI4301068655
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About NPI 1063513943

Nuga Pediatrics Lenawee, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063513943. The primary specialty listed is Pediatrics. The organization is located in Adrian, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063513943?

NPI 1063513943 belongs to Nuga Pediatrics Lenawee, Pllc, a Pediatrics in Adrian, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063513943 active?

The current status of NPI 1063513943 in the NPPES registry is Active. The record was last updated on 2008-08-05.

What specialty is NPI 1063513943?

NPI 1063513943 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063513943?

You can verify NPI 1063513943 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063513943?

The primary practice address on file for NPI 1063513943 is 901 Kimole Ln, Adrian, MI 49221-1491. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063513943 issued?

NPI 1063513943 was first issued (enumerated) on 2006-09-26. The NPPES record was last updated on 2008-08-05.

Practice Location Map

Nuga Pediatrics Lenawee, Pllc is located at 901 Kimole Ln, Adrian, MI. Use the map below to find directions or verify the practice location.

📍 901 Kimole Ln, Adrian, MI 49221-1491  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nuga Pediatrics Lenawee, Pllc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063513943. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics4301068655MI
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162