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Great Lakes Pediatrics

Pediatric Adolescent Medicine Physician in Warren, MI · enumerated 2008 · authorized official Sundus Rummani-Askar, President.

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

National Provider Identifier

1417126715

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Pediatrics
Practice address 26000 Hoover Rd, 103, Warren, MI, 48089
Enumeration date Feb 21, 2008
Last updated in NPPES Feb 21, 2008

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians · License 4301073962 (MI) Primary

Authorized official

Name Sundus Rummani-Askar
Title President

Other identifiers

Identifier Type State Issuer
4435267 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 type of organization is Great Lakes Pediatrics?
Great Lakes Pediatrics is registered in NPPES as a Pediatric Adolescent Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-21.