ST. CHARLES FAMILY CLINIC PLLC
NPI 1669837993
Family Medicine in Saint Charles, MI
About St. Charles Family Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. CHARLES FAMILY CLINIC PLLC (NPI 1669837993) is a healthcare organization registered as a family medicine in Saint Charles, Michigan and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through April 14, 2028, maintains a secondary practice location in Gladwin, and lists Naveed Mahfooz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted 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)
St. Charles Family Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to St. Charles Family Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 23D0681685
St Charles Family Clinic PLLC · Saint Charles, MIFrequently 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 St. Charles Family Clinic PLLC's NPI number?
The NPI number for St. Charles Family Clinic PLLC is 1669837993. It was assigned to this organization in the NPPES registry on December 31, 2015.
Where is St. Charles Family Clinic PLLC located?
St. Charles Family Clinic PLLC is located at 611 W Belle Avenue, Saint Charles, MI 48655. The listed phone number is (989) 865-9958.
What is St. Charles Family Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is St. Charles Family Clinic PLLC enrolled in Medicare?
Yes. St. Charles Family Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Charles Family Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to St. Charles Family Clinic PLLC. 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. The largest specialties are Nurse Practitioner (7), Family Practice (1) and Rheumatology (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St. Charles Family Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0681685) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St. Charles Family Clinic PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St. Charles Family Clinic PLLC 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 St. Charles Family Clinic PLLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# St. Charles Family Clinic Pllc · NPI 1669837993
Family Medicine organization in Saint Charles, Michigan. Organization record, active in the CMS NPPES registry since December 31, 2015.
## Identity
- **NPI:** 1669837993 (Entity type: Organization)
- **Enumerated:** December 31, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Naveed Mahfooz, OWNER
## Practice location
- **Address:** 611 W BELLE AVENUE, Saint Charles, MI 48655
- **Phone:** (989) 865-9958 · **Fax:** (989) 865-8099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (1), Rheumatology (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669837993) · Data from the CMS NPPES public registry.