PATRICK A. CHARLES MD PC
NPI 1205878824
Internal Medicine in Detroit, MI

Q: What is Patrick A. Charles MD PC's NPI number?

The NPI number for Patrick A. Charles MD PC is 1205878824. It was assigned to this organization in the NPPES registry on June 11, 2006.

Q: What is Patrick A. Charles MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 11, 2006CLIA 23D0969273 · Waiver

18601 MACK AVE, DETROIT, MI 48236(313) 640-1250(313) 640-1291 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Patrick A. Charles Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK A. CHARLES MD PC (NPI 1205878824) is a healthcare organization registered as an internal medicine in Detroit, Michigan and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Patrick Anselm Charles, President, as its authorized official.

NPPES Registry Identity

NPI1205878824

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePATRICK A. CHARLES MD PC

Location Address18601 MACK AVEDetroit, MI 48236-3250

Mailing AddressPo Box 21158Detroit, MI 48221-0158 · (313) 640-1250 · Fax (313) 640-1291

Phone(313) 640-1250

Fax(313) 640-1291

Organization SubpartNo

Authorized OfficialPatrick Anselm CharlesPresident · (313) 640-1250

Enumeration DateJune 11, 2006

Last NPPES UpdateDecember 18, 2007

✔ NPI 1205878824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301058495

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

18601 MACK AVE, Detroit, MI 48236

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Other Identifiers 3

Medicare PIN0P32310

Medicaid2876665MI

Medicare UPINF01802

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick A. Charles Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Patrick A. Charles MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Savannah Shephard, FNP-BC

Nurse Practitioner

NPI 1518425610

18601 MACK AVE STE 2
Grosse Pointe, MI 48236

(313) 640-1250

✔ PECOSSame address

Patrick Charles, M.D.

Internal Medicine

NPI 1396742151

18601 MACK AVE SUITE 2
Detroit, MI 48236

(313) 640-1250

✔ PECOS✔ Accepts MedicareSame address

Borivoje Trifunovic, MD

Internal Medicine

NPI 1730167644

25710 KELLY RD SUITE 3
Roseville, MI 48066

(586) 772-2600

✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0969273

Patrick A Charles, MD, PC · Detroit, MI

Active · expires Jan 9, 2028

CLIA Number23D0969273

Laboratory TypePhysician Office

Certificate Effective DateJanuary 10, 2026

Certificate Expiration DateJanuary 9, 2028

Laboratory DirectorPatrick A. Charles, MD

Laboratory Phone(313) 640-1250

Laboratory LocationPatrick A Charles, MD, PC18601 Mack Avenue Suite 2, Detroit, MI 48236

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Patrick A. Charles MD PC's NPI number?

The NPI number for Patrick A. Charles MD PC is 1205878824. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Patrick A. Charles MD PC located?

Patrick A. Charles MD PC is located at 18601 Mack Ave, Detroit, MI 48236. The listed phone number is (313) 640-1250.

What is Patrick A. Charles MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick A. Charles MD PC enrolled in Medicare?

Yes. Patrick A. Charles MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick A. Charles MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Patrick A. Charles MD PC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Patrick A. Charles MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0969273) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Patrick A. Charles MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Patrick A. Charles MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patrick A. Charles MD PC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.