Parkside Pediatric Clinic,p.C.
NPI 1477781169ActiveOrganization· Pediatrics· Jackson, MI
Pediatrics in Jackson, Michigan, registered in NPPES in July 2009. The authorized official on file is Katikineni V. Rao, MD, President.
Overview
| NPI | 1477781169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2009 |
| Last updated in NPPES | Jul 1, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 4301 031905 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pediatricians in Jackson
- 1871755058
- 1841286937
- 1588357602
- 1689052789
- 1265806343
- 1306003538
- 1417680760
- 1659523876
- 1689626400
- 1699798249
- 1760441455
- 1811798697
All 30 pediatricians in Jackson · All pediatricians in Michigan