Promedica Central Physicians LLC
NPI 1083959522 · Pediatric Gastroenterology Physician · Monroe, MI
Promedica Central Physicians LLC is a Pediatric Gastroenterology Physician organization in Monroe, MI (NPI 1083959522).
Provider details
- NPI number
- 1083959522
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Knueven, Credentialing Supervisor(567) 585-1969
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Promedica Children'S Specialties
- Doing business as
- Promedica Children'S Specialties
Registry dates
- Enumerated
- 2012-12-11
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Frequently asked questions
- What is Promedica Central Physicians LLC's NPI number?
- Promedica Central Physicians LLC's National Provider Identifier (NPI) is 1083959522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Promedica Central Physicians LLC?
- Promedica Central Physicians LLC is classified in the NPPES registry as Pediatric Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Promedica Central Physicians LLC located?
- Promedica Central Physicians LLC's practice location on file with NPPES is 730 N Macomb St, Monroe, MI 48162-2900.
- What is Promedica Central Physicians LLC's phone number?
- The practice phone number listed in the NPPES registry for Promedica Central Physicians LLC is (419) 291-7010.
- Who is the authorized official for Promedica Central Physicians LLC?
- The authorized official listed on Promedica Central Physicians LLC's NPPES record is Kristin Knueven, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Promedica Central Physicians LLC's NPI active?
- Yes — Promedica Central Physicians LLC's NPI (1083959522) is active in the NPPES registry as of the last update on 2021-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.