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CHARLES G. GODOSHIAN, M.D., P.C.
NPI 1215133673
Internal Medicine in Southfield, MI

Active since June 22, 2007CLIA 23D0363371 · Waiver
27177 LAHSER RD, SUITE 104, SOUTHFIELD, MI 48034(248) 353-0882(248) 353-0883 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Charles G. Godoshian, M.d., P.c. NPPES

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

CHARLES G. GODOSHIAN, M.D., P.C. (NPI 1215133673) is a healthcare organization registered as an internal medicine in Southfield, Michigan and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Charles G Godoshian, President, as its authorized official.

NPPES Registry Identity

NPI1215133673
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHARLES G. GODOSHIAN, M.D., P.C.
Location Address27177 LAHSER RD, SUITE 104Southfield, MI 48034-4714
Mailing Address27177 Lahser Rd, Suite 104Southfield, MI 48034-4714 · (248) 353-0882 · Fax (248) 353-0883
Phone(248) 353-0882
Fax(248) 353-0883
Organization SubpartNo
Authorized OfficialCharles G GodoshianPresident · (248) 353-0882
Enumeration DateJune 22, 2007
Last NPPES UpdateJune 2, 2009
✔ NPI 1215133673 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 · CG046652
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.
27177 LAHSER RD, Southfield, MI 48034
Open in Google Maps ↗

Other Identifiers 4

Medicaid1731411MI
Medicare ID-Type Unspecified0P19960
Medicare UPINB44605MI
Other0F38121MI · Blue Cross Blue Shield Of Michigan

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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles G. Godoshian, M.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050729000720Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles G. Godoshian, M.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Godoshian, M.D.
Internal Medicine
NPI 1699769190
27177 LAHSER RD SUITE 104
Southfield, MI 48034
(248) 353-0882
✔ PECOS✔ Accepts MedicareSame address

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 23D0363371

Charles G Godoshian MD PC · Southfield, MI
Active · expires Sep 1, 2027
CLIA Number23D0363371
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorCharles G. Godoshian
Laboratory Phone(248) 353-0882
Laboratory LocationCharles G Godoshian MD PC27177 Lahser Road Suite 104, Southfield, MI 48034
CLIA data matches this NPI record on: Address 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 Charles G. Godoshian, M.D., P.C.'s NPI number?

The NPI number for Charles G. Godoshian, M.D., P.C. is 1215133673. It was assigned to this organization in the NPPES registry on June 22, 2007.

Where is Charles G. Godoshian, M.D., P.C. located?

Charles G. Godoshian, M.D., P.C. is located at 27177 Lahser Rd Suite 104, Southfield, MI 48034. The listed phone number is (248) 353-0882.

What is Charles G. Godoshian, M.D., P.C.'s specialty?

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

Is Charles G. Godoshian, M.D., P.C. enrolled in Medicare?

Yes. Charles G. Godoshian, M.D., P.C. is registered in the Medicare PECOS enrollment system.

When is Charles G. Godoshian, M.D., P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Charles G. Godoshian, M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Charles G. Godoshian, M.D., P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Charles G. Godoshian, M.D., P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0363371) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles G. Godoshian, M.D., P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Charles G. Godoshian, M.D., P.C. 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 Charles G. Godoshian, M.D., P.C. was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.