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CHARLES M JOHNSON PODIATRIST PC
NPI 1902955560
Podiatrist - Foot & Ankle Surgery in Detroit, MI

Active since January 10, 2007
10244 W 7 MILE RD, DETROIT, MI 48221(313) 862-5800(313) 862-2865 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles M Johnson Podiatrist Pc NPPES

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

CHARLES M JOHNSON PODIATRIST PC (NPI 1902955560) is a healthcare organization registered as a foot & ankle surgery in Detroit, Michigan and active in the NPI registry since January 2007. The organization lists Charles M. Johnson, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1902955560
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCHARLES M JOHNSON PODIATRIST PC
Location Address10244 W 7 MILE RDDetroit, MI 48221-1904
Mailing Address10244 W 7 Mile RdDetroit, MI 48221-1904 · (313) 862-5800 · Fax (313) 862-2865
Phone(313) 862-5800
Fax(313) 862-2865
Organization SubpartNo
Authorized OfficialCharles M. JohnsonDirector/owner · (313) 862-5800
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 13, 2015
✔ NPI 1902955560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · CJ001211
10244 W 7 MILE RD, Detroit, MI 48221
Open in Google Maps ↗

Other Identifiers 6

Other0P47360MI · Medicare Group
Medicare PIN0P47360
Medicare UPINT34299
Medicaid4866541MI
Medicare PIN0P47360001MI
Other480H232610MI · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Charles M Johnson Podiatrist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles M Johnson Podiatrist PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Johnson, D.P.M.
Podiatry
NPI 1245327543
10244 W 7 MILE RD
Detroit, MI 48221
(313) 862-5800
✔ PECOS✔ Accepts Medicare0.9 mi

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 Charles M Johnson Podiatrist PC's NPI number?

The NPI number for Charles M Johnson Podiatrist PC is 1902955560. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Charles M Johnson Podiatrist PC located?

Charles M Johnson Podiatrist PC is located at 10244 W 7 Mile Rd, Detroit, MI 48221. The listed phone number is (313) 862-5800.

What is Charles M Johnson Podiatrist PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Charles M Johnson Podiatrist PC enrolled in Medicare?

Yes. Charles M Johnson Podiatrist PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles M Johnson Podiatrist PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Charles M Johnson Podiatrist PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charles M Johnson Podiatrist PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Charles M Johnson Podiatrist PC 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 Charles M Johnson Podiatrist PC was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.