DR. CARLOS MANUEL GODINEZ RODRIGUEZ MD
NPI 1639969660
Family Medicine in Pontiac, MI

Q: What is Carlos Godinez Rodriguez's NPI number?

The NPI number for Carlos Godinez Rodriguez is 1639969660. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Q: What is Carlos Godinez Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 12, 2025PECOS Enrolled

461 W HURON ST STE 107, PONTIAC, MI 48341(248) 724-7600(248) 857-7141 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Carlos Manuel Godinez Rodriguez Md NPPES

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

DR. CARLOS MANUEL GODINEZ RODRIGUEZ MD (NPI 1639969660) is an individual family medicine provider in Pontiac, Michigan, licensed in Michigan (4351054674) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1639969660

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CARLOS MANUEL GODINEZ RODRIGUEZCredential: MD

Location Address461 W HURON ST STE 107Pontiac, MI 48341-1601

Mailing AddressPo Box 430150Pontiac, MI 48343-0150 · (248) 724-7600 · Fax (248) 857-7141

Phone(248) 724-7600

Fax(248) 857-7141

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 12, 2025

NPPES CertifiedMay 12, 2025

✔ NPI 1639969660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4351054674

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

461 W HURON ST STE 107, Pontiac, MI 48341

Open in Google Maps ↗

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos Manuel Godinez Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486129756

PECOS Enrollment IDI20260406001044

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Godinez Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oakland Integrated Healthcare Network

Same address

Federally Qualified Health Center (FQHC)

461 W. HURON, SUITE 107
Pontiac, MI 48341

Reassigned Medicare billing, Michigan enrollment
46 clinicians in this Medicare group

NPI 1316214299 (248) 724-7600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SANITHA PULIKKOTIL

Counselor (Professional)