DR. BISMARK KODJI MD
NPI 1114415460
Internal Medicine in Detroit, MI
About Dr. Bismark Kodji Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BISMARK KODJI MD (NPI 1114415460) is an individual internal medicine provider in Detroit, Michigan, licensed in Ohio (35.144273) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Community Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bismark Kodji Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Bismark Kodji reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 228 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 494 clinicians in this Medicare group
Ottawa, IL 61350
- Reassigned Medicare billing, Illinois enrollment
- 233 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Hospital
Acute Care Hospitals · Munster, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bismark Kodji's NPI number?
The NPI number for Bismark Kodji is 1114415460. It was assigned to this individual provider in the NPPES registry on April 23, 2018.
Where is Bismark Kodji located?
Bismark Kodji practices at 4201 St. Antoine St, Detroit, MI 48201. The listed phone number is (313) 966-7434.
What is Bismark Kodji's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bismark Kodji enrolled in Medicare?
Yes. Bismark Kodji is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bismark Kodji's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bismark Kodji reassigns Medicare benefits to 3 organizations: Galen Inpatient Physicians PC (Mishawaka, IN), Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH) and 24 On Physicians, PC (Ottawa, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bismark Kodji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bismark Kodji affiliated with any hospitals?
According to CMS data, Bismark Kodji is affiliated with Community Hospital.
When was this NPI record last updated?
The NPPES record for Bismark Kodji was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Bismark Kodji, MD · NPI 1114415460
Internal Medicine physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 23, 2018.
## Identity
- **NPI:** 1114415460 (Entity type: Individual)
- **Enumerated:** April 23, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35.144273 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4201 ST. ANTOINE ST, Detroit, MI 48201-2153
- **Phone:** (313) 966-7434
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Galen Inpatient Physicians PC (NPI 1528885951, Mishawaka, IN); Usacs Integrated Acute Care Services Of Ohio, LLC (NPI 1043805690, Springfield, OH); 24 On Physicians, PC (NPI 1346480431, Ottawa, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114415460) · Data from the CMS NPPES public registry.