WOODWARD CORRIDOR FAMILY MEDICAL CENTER
NPI 1790948982
Clinic/Center - Federally Qualified Health Center (FQHC) in Detroit, MI

Active since July 08, 2008
611 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48201(313) 832-6300(313) 832-8341 Get Directions Write a Review

NPPES record last updated: April 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Woodward Corridor Family Medical Center NPPES

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

WOODWARD CORRIDOR FAMILY MEDICAL CENTER (NPI 1790948982) is a healthcare organization registered as a federally qualified health center (fqhc) in Detroit, Michigan and active in the NPI registry since July 2008. The organization lists Mahipal Rao Kakarala, Srvp/cfo, as its authorized official.

NPPES Registry Identity

NPI1790948982
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDETROIT COMMUNITY HEALTH CONNECTION, INC
Location Address611 MARTIN LUTHER KING JR BLVDDetroit, MI 48201-2273
Mailing Address13901 E Jefferson AveDetroit, MI 48215-2720 · (313) 821-2591 · Fax (313) 822-4202
Fax(313) 832-8341
Organization SubpartYesParent: Detroit Community Health Connection, Inc.
Authorized OfficialMahipal Rao KakaralaSrvp/cfo · (313) 821-2591
Enumeration DateJuly 8, 2008
Last NPPES UpdateApril 27, 2013
✔ NPI 1790948982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
611 MARTIN LUTHER KING JR BLVD, Detroit, MI 48201

Other Names 1

Doing Business AsWoodward Corridor Family Medical Center

Other Identifiers 1

Medicare OSCAR/certification231936

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)

Woodward Corridor Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Woodward Corridor Family Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner6
Internal Medicine3
Obstetrics/Gynecology3
Pediatric Medicine3
Certified Nurse Midwife (CNM)2
Family Practice2
Clinical Social Worker1
Infectious Disease1
2 other specialties2

Nearest to this location (20)

See all 23
Infectious Disease
NPI 1275576886
611 MARTIN LUTHER KING JR BLVD
Detroit, MI 48201
(313) 832-6300
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1750418083
3901 BEAUBIEN ST
Detroit, MI 48201
(313) 745-5437
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1609414218
3901 CHRYSLER DR STE 4A
Detroit, MI 48201
(313) 966-7601
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1518379650
3100 BROADWAY ST. SUITE 400
Detroit, MI 48226
(586) 335-2006
✔ PECOS✔ Accepts Medicare1.1 mi
Pediatric Medicine
NPI 1316088644
2395 W GRAND BLVD
Detroit, MI 48208
(313) 831-2442
✔ PECOS2.1 mi
Internal Medicine
NPI 1275611667
2950 E JEFFERSON AVE
Detroit, MI 48207
(313) 567-3551
✔ PECOS✔ Accepts Medicare2.3 mi
Clinical Social Worker
NPI 1679717268
2051 W GRAND BLVD
Detroit, MI 48208
(313) 961-3200
✔ PECOS✔ Accepts Medicare2.5 mi
Pediatric Medicine
NPI 1982634119
7900 KERCHEVAL ST
Detroit, MI 48214
(313) 921-5500
✔ PECOS3.3 mi
Certified Nurse Midwife (CNM)
NPI 1194504035
6550 W WARREN AVE
Detroit, MI 48210
(313) 897-7700
✔ PECOS✔ Accepts Medicare3.7 mi
Registered Dietitian or Nutrition Professional
NPI 1508511122
13901 E JEFFERSON AVE
Detroit, MI 48215
(313) 821-2591
✔ Accepts Medicare6.2 mi
Family Practice
NPI 1336595040
13901 E JEFFERSON AVE
Detroit, MI 48215
(331) 382-1259
✔ PECOS✔ Accepts Medicare6.2 mi
Internal Medicine
NPI 1467588483
13901 E. JEFFERON AVE.
Detroit, MI 48215
(313) 822-0900
✔ PECOS✔ Accepts Medicare6.2 mi
Obstetrics/Gynecology
NPI 1548462591
26711 WOODWARD AVE STE 108
Huntington Woods, MI 48070
(248) 336-2008
✔ PECOS✔ Accepts Medicare8.2 mi
Certified Nurse Midwife (CNM)
NPI 1023886751
111 W 7 MILE RD
Detroit, MI 48203
(313) 369-2600
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1457875247
20905 GREENFIELD SUITE 406
Southfield, MI 48075
(248) 513-8229
✔ PECOS10.0 mi
Obstetrics/Gynecology
NPI 1497744932
12900 W.9 MILE ROAD
Oak Park, MI 48237
(248) 547-9292
✔ PECOS✔ Accepts Medicare10 mi
Obstetrics/Gynecology
NPI 1053533257
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-3014
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1851884621
2609 CROOKS RD
Troy, MI 48084
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1063522506
30400 TELEGRAPH RD SUITE 350
Bingham Farms, MI 48025
(248) 353-9460
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1891570917
880 W LONG LAKE RD # 600
Troy, MI 48098
(800) 562-5442
✔ PECOS✔ Accepts Medicare18 mi
See all 23 clinicians

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

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 Detroit Community Health Connection, Inc's NPI number?

The NPI number for Detroit Community Health Connection, Inc is 1790948982. It was assigned to this organization in the NPPES registry on July 8, 2008. The provider is doing business as Woodward Corridor Family Medical Center.

Where is Detroit Community Health Connection, Inc located?

Detroit Community Health Connection, Inc is located at 611 Martin Luther King Jr Blvd, Detroit, MI 48201. The listed phone number is (313) 832-6300.

What is Detroit Community Health Connection, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Detroit Community Health Connection, Inc enrolled in Medicare?

Yes. Detroit Community Health Connection, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Detroit Community Health Connection, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 10 Medicare specialties reassign their Medicare billing to Detroit Community Health Connection, Inc. 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 (6), Internal Medicine (3) and Obstetrics/Gynecology (3). Of these, 1 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Detroit Community Health Connection, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Detroit Community Health Connection, Inc 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 Detroit Community Health Connection, Inc was last updated on April 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.