KAROLINA MAKSIMOWSKI – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1003259250

Pediatric Emergency Medicine (Pediatrics) Physician

KAROLINA MAKSIMOWSKI is a healthcare provider. based in Detroit, Michigan. specializing in PEDIATRIC MEDICINE. They hold a License No. 56541 (CT). The NPI Number for KAROLINA MAKSIMOWSKI is 1003259250

Main info

Female

Sole Proprietor

13 Years Of Experience

Accepts Medicare Assignment

Name

KAROLINA MAKSIMOWSKI

NPI

1003259250

Phone

(313) 745-4405

Address

4201 ST. ANTOINE

Enumeration Date

8 April 2013

Last Update Date

14 August 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3137455870

Graduation Year

2013 (13 years ago)

PAC ID

1153557913

Group Practice PAC ID

9638070568

Professional Enrollment ID

I20180817001256

Address ID

MI482012119DE3901XSTXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience63

Completeness75

Years active:13State licenses:3Digital endpointsOther names

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for KAROLINA MAKSIMOWSKI

4201 ST. ANTOINE
UHC 5D MAILBOX 226
DETROIT, MI 482012153
Phone: (313) 745-4405
Fax: (313) 966-0665
Type: Mailing
3901 BEAUBIEN ST
DETROIT, MI 482012119
Phone: (313) 745-5260
Fax: (313) 966-0665
Type: Location
5 Perryridge Rd
Greenwich, CT 068304608
Phone: (203) 863-3000
Type: Location
1 Park St
New Haven, CT 065048901
Phone: (203) 785-4081
Type: Location
2500 Metrohealth Dr
Cleveland, OH 441091900
Phone: (216) 778-2222
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20180817001256	I	Pediatric Medicine	MI	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9638070568View full group profile

Name	Specialty	State
NORIMITSU KUWABARA (MD)	Pediatric Medicine	MI
MARWA EL-BOHY (M.D.)	Pediatric Medicine	OH
BRIAN W BERMAN (MD)	Pediatric Medicine	MI
JAMES PATRICK IV KELLY (DO)	Pediatric Medicine	MI
ELISHEVA ELLENBERG (FNP-C)	Nurse Practitioner	MI
DR. JENNIFER REBECCA NOBLE (MD)	-	MI
DR. GAURAV KAPUR (MD)	Nephrology, Pediatric Medicine	MI
SHARADA A SARNAIK (MD)	-	MI
THOMAS FAGAN (MD)	Pediatric Medicine	TN
JASON P MILLER (M.D.)	-	MI

Reviews

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Frequently asked questions

What is the standard ID for KAROLINA MAKSIMOWSKI in the U.S.?

In the U.S., KAROLINA MAKSIMOWSKI is identified by NPI 1003259250.

Is KAROLINA MAKSIMOWSKI currently accepting referrals based on NPI status?

Registry metadata lists KAROLINA MAKSIMOWSKI as active.

What does the directory say KAROLINA MAKSIMOWSKI does?

Insurance directories may phrase it differently, but here KAROLINA MAKSIMOWSKI maps to Pediatric Emergency Medicine (Pediatrics) Physician. Clinical services aligned with this taxonomy classification.

Is KAROLINA MAKSIMOWSKI tied to Detroit, Michigan?

If you are local to Detroit, Michigan, KAROLINA MAKSIMOWSKI may be relevant to your search.

Why is information missing for KAROLINA MAKSIMOWSKI?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.