DR. GODELIEVRE GBIANZAPA LOUIS MD
NPI 1871238782
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 04, 2022PECOS Enrolled
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 577-4342 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Godelievre Gbianzapa Louis Md NPPES

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

DR. GODELIEVRE GBIANZAPA LOUIS MD (NPI 1871238782) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2009).

NPPES Registry Identity

NPI1871238782
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. GODELIEVRE GBIANZAPA LOUISCredential: MD
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St # 5cDetroit, MI 48201-2153 · (947) 517-7671
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2009
Enumeration DateMay 4, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1871238782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Godelievre Gbianzapa Louis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466831029
PECOS Enrollment IDI20260827003314
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 Godelievre Louis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2040 AURELIUS RD STE 22
Holt, MI 48842
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group

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

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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

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 Godelievre Louis's NPI number?

The NPI number for Godelievre Louis is 1871238782. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Godelievre Louis located?

Godelievre Louis practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 577-4342.

What is Godelievre Louis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Godelievre Louis enrolled in Medicare?

Yes. Godelievre Louis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Godelievre Louis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Godelievre Louis reassigns Medicare benefits to Edward W Sparrow Hospital Association (Holt, MI). The 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 Godelievre Louis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Godelievre Louis was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.