Waterford Pediatrics
NPI 1104082148 · General Practice Physician · Waterford, MI
Waterford Pediatrics is a General Practice Physician organization in Waterford, MI (NPI 1104082148).
Provider details
- NPI number
- 1104082148
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vicki Inman, Billing Mgr(248) 666-4266
- License
- MK057394 (MI)
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
17 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
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2008-07-30
Frequently asked questions
- What is Waterford Pediatrics's NPI number?
- Waterford Pediatrics's National Provider Identifier (NPI) is 1104082148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterford Pediatrics?
- Waterford Pediatrics is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Waterford Pediatrics located?
- Waterford Pediatrics's practice location on file with NPPES is 4185 Highland Rd, Waterford, MI 48328.
- What is Waterford Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Waterford Pediatrics is (248) 648-8930.
- Who is the authorized official for Waterford Pediatrics?
- The authorized official listed on Waterford Pediatrics's NPPES record is Vicki Inman, Billing Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterford Pediatrics's NPI active?
- Yes — Waterford Pediatrics's NPI (1104082148) is active in the NPPES registry as of the last update on 2008-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.