PAVADEE POOWUTTIKUL (M.D.) – Pediatric Allergy/Immunology Physician, NPI 1952582314
Pediatric Allergy/Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 PEDIATRIC MEDICINE in MI
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Provider Addresses for PAVADEE POOWUTTIKUL (M.D.)
4201 ST. ANTOINE - UHC 5D MAILBOX 226
UNIVERSITY PEDIATRICIANS
DETROIT, MI 482012153
Phone: (313) 745-4405
Fax: (313) 966-0665
Type: Mailing
Beaubien Street, Greektown, Detroit, Wayne County, Michigan, 48226, United States
CHILDRENS HOSPITAL OF MI
DETROIT, MI 482012119
Phone: (313) 832-8550
Fax: (313) 993-8685
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $2,110.
Total Amount is formed as General ($2,110) + Research ($0) + Ownership ($0) = $2,110.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,871).
Total Amount
$2,110
General + Research + Ownership
Payments
14
Total payment records
General Amount
$2,110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,871 |
| SOBI, INC | $120 |
| CSL Behring | $119 |
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: 2012-06-04
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
1
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 |
|---|---|---|---|---|
| I20120604000511 | 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.
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
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | MI | |
| Pediatric Medicine | MI | |
| Pediatric Medicine | OH | |
| Pediatric Medicine | MI | |
| Pediatric Medicine | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nephrology, Pediatric Medicine | MI | |
| - | MI | |
| Pediatric Medicine | TN |
Reviews
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