RESIDENT OBGYN CLINIC
NPI 1821006255
Obstetrics & Gynecology in Livonia, MI
About Resident Obgyn Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESIDENT OBGYN CLINIC (NPI 1821006255) is a healthcare organization registered as an obstetrics & gynecology in Livonia, Michigan and active in the NPI registry since August 2006. The organization lists Lee Ann Odom, President Shared Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Resident Obgyn Clinic 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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Resident Obgyn Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Farmington Hills, MI 48336
Farmington Hills, MI 48336
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 Botsford General Hospital's NPI number?
The NPI number for Botsford General Hospital is 1821006255. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is also known as Resident Obgyn Clinic.
Where is Botsford General Hospital located?
Botsford General Hospital is located at 28711 8 Mile Rd Suite E, Livonia, MI 48152. The listed phone number is (248) 476-3260.
What is Botsford General Hospital's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Botsford General Hospital enrolled in Medicare?
Yes. Botsford General Hospital is registered in the Medicare PECOS enrollment system.
When is Botsford General Hospital'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 Botsford General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Botsford General Hospital. 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 Internal Medicine (4), Family Practice (1) and Geriatric Medicine (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Botsford General Hospital was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Resident Obgyn Clinic · NPI 1821006255
Obstetrics & Gynecology organization in Livonia, Michigan. Organization record, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1821006255 (Entity type: Organization)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Legal business name:** Botsford General Hospital
- **Organization subpart:** No
- **Authorized official:** Lee Odom, PRESIDENT SHARED SERVICES
## Practice location
- **Address:** 28711 8 MILE RD, SUITE E, Livonia, MI 48152-2040
- **Phone:** (248) 476-3260 · **Fax:** (248) 476-6551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Family Practice (1), Geriatric Medicine (1); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1821006255) · Data from the CMS NPPES public registry.