Dearborn Allergy & Asthma Clinic PC
NPI 1477545200 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Dearborn, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dearborn Allergy & Asthma Clinic PC is a Clinical & Laboratory Immunology (Allergy & Immunology) Physician organization in Dearborn, MI (NPI 1477545200).
Provider details
- NPI number
- 1477545200
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Short, Office Manager(313) 565-3565
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
20 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
- 2005-08-18
- Last updated
- 2012-04-24
Frequently asked questions
- What is Dearborn Allergy & Asthma Clinic PC's NPI number?
- Dearborn Allergy & Asthma Clinic PC's National Provider Identifier (NPI) is 1477545200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dearborn Allergy & Asthma Clinic PC?
- Dearborn Allergy & Asthma Clinic PC is classified in the NPPES registry as Clinical & Laboratory Immunology (Allergy & Immunology) Physician (Allopathic & Osteopathic Physicians).
- Where is Dearborn Allergy & Asthma Clinic PC located?
- Dearborn Allergy & Asthma Clinic PC's practice location on file with NPPES is 20200 Outer Dr, Dearborn, MI 48124-2634.
- What is Dearborn Allergy & Asthma Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Dearborn Allergy & Asthma Clinic PC is (313) 565-3565.
- Does Dearborn Allergy & Asthma Clinic PC accept Medicare?
- Dearborn Allergy & Asthma Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dearborn Allergy & Asthma Clinic PC?
- The authorized official listed on Dearborn Allergy & Asthma Clinic PC's NPPES record is Kathy Short, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dearborn Allergy & Asthma Clinic PC's NPI active?
- Yes — Dearborn Allergy & Asthma Clinic PC's NPI (1477545200) is active in the NPPES registry as of the last update on 2012-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.