PETER A. NICKLES MD – NPI #1902982150
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

PETER NICKLES is a physician located in GROSSE POINTE FARMS, MI. NPPES has assigned the NPI number 1902982150 to PETER NICKLES on October 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER NICKLES below.

NPI Profile for
PETER A. NICKLES

NPI Number
1902982150
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER A. NICKLES
Credentials
MD
Primary location
47 EDGEMERE
GROSSE POINTE FARMS, MI 48236
Phone: (313) 886-4367 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0201X
- Pediatrics / Pediatric Allergy/Immunology (Primary)
MI 4301037905
207K00000X
- Allergy & Immunology
MI 4301037905

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.