OrganizationActive
Grace Pediatrics PC
NPI 1003482019 · Primary Care Clinic/Center · Pontiac, MI
Provider details
- NPI number
- 1003482019
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roy Pullukat, Owner(248) 884-3879
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
44200 Woodward Ave Ste 103
Pontiac, MI 48341-5046
Phone: (248) 253-9600
Fax: (248) 253-0980
Street-level locationGet directions
Mailing address
44200 Woodward Ave Ste 103
Pontiac, MI 48341-5046
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.