Grace Pediatrics PC
Grace Pediatrics PC is a healthcare organization registered as Primary Care Clinic/Center in Pontiac, MI, holding Type 2 (organization) NPI 1003482019 since 2021. The authorized official on file is Roy Pullukat, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003482019 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Grace Pediatrics PC |
| Practice address | 44200 WOODWARD AVE STE 103, Pontiac, MI, 48341 |
| Phone | 2482539600 |
| Fax | 2482530980 |
| Enumeration date | 2021-06-01 |
| Last updated in NPPES | 2021-06-01 |
Authorized official
| Name | Roy Pullukat |
|---|---|
| Title | Owner |
| Phone | 2488843879 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Grace Pediatrics PC NPI: 1003482019 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 44200 WOODWARD AVE STE 103, Pontiac, MI, 48341
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932694767 | Annamma Pullukat | Organization | Pediatric Adolescent Medicine Physician | Pontiac, MI |
| 1518552413 | Annamma Pullukat | Organization | Pediatrics Physician | Pontiac, MI |
Verify this record
Cross-check NPI 1003482019 against the authoritative CMS record: view Grace Pediatrics PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Grace Pediatrics PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-06-01.