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Shelby Pediatric Associates and Child Lung Center PC

Pediatrics Physician in Shelby Township, MI · enumerated 2006 · authorized official Maria Pellerito, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124051990

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Registry record

Entity type Organization (Type 2)
Legal business name Shelby Pediatric Associates and Child Lung Center PC
Practice address 15125 22 Mile Rd, Shelby Township, MI, 48315
Fax (586) 566-8967
Enumeration date Jul 7, 2006
Last updated in NPPES Mar 27, 2024

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License AR2460549 (MI) Primary

Authorized official

Name Maria Pellerito
Title Office Manager

Other identifiers

Identifier Type State Issuer
4669589 Medicaid MI -
4432864 Medicaid MI -
4432882 Medicaid MI -

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.

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Frequently asked questions

What is the NPI number for Shelby Pediatric Associates and Child Lung Center PC?
The NPI for Shelby Pediatric Associates and Child Lung Center PC is 1124051990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shelby Pediatric Associates and Child Lung Center PC?
NPPES lists Maria Pellerito (Office Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-27.