CHARLES BRIAN PELSHAW (MD) – Pediatric Rehabilitation Medicine Physician, NPI 1255378741

CHARLES BRIAN PELSHAW (MD) is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 4301063401 (MI). The NPI Number for CHARLES BRIAN PELSHAW (MD) is 1255378741

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES BRIAN PELSHAW (MD)
NPI
1255378741
Phone
(313) 745-4405
Address
4201 ST. ANTOINE - UHC 5D MAILBOX 226
Enumeration Date
1 June 2006
Last Update Date
12 January 2017

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3137455870
Graduation Year
1994 (32 years ago)
PAC ID
9638227598
Group Practice PAC ID
9638070568
Professional Enrollment ID
I20090501000448
Address ID
MI482012119DE3901XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for CHARLES BRIAN PELSHAW (MD)

  • 4201 ST. ANTOINE - UHC 5D MAILBOX 226

    UNIVERSITY PEDIATRICIANS

    DETROIT, MI 482012153

    Phone: (313) 745-4405

    Fax: (313) 966-0665

    Type: Mailing

  • 3901 BEAUBIEN 1ST FLOOR MAIN BUILDING

    CHILDRENS HOSPITAL MI

    DETROIT, MI 48201

    Phone: (313) 993-2757

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $819.

Total Amount is formed as General ($819) + Research ($0) + Ownership ($0) = $819.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($317).

Total Amount

$819

General + Research + Ownership

Payments

29

Total payment records

General Amount

$819

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090501000448IPhysical Medicine And RehabilitationMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638070568View full group profile
NameSpecialtyState
Pediatric MedicineMI
Pediatric MedicineMI
Pediatric MedicineOH
Pediatric MedicineMI
Pediatric MedicineMI
Nurse PractitionerMI
-MI
Nephrology, Pediatric MedicineMI
-MI
Pediatric MedicineTN

Reviews

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Frequently asked questions

Is there an official ID for CHARLES BRIAN PELSHAW (MD) in U.S. healthcare records?
The official identifier for CHARLES BRIAN PELSHAW (MD) is NPI 1255378741.
Is there an active status for CHARLES BRIAN PELSHAW (MD)?
For scheduling context, CHARLES BRIAN PELSHAW (MD) is shown as active in the registry.
How would a patient describe CHARLES BRIAN PELSHAW (MD)'s focus?
For CHARLES BRIAN PELSHAW (MD), the primary taxonomy reads as Pediatric Rehabilitation Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CHARLES BRIAN PELSHAW (MD) associated with Detroit?
Public fields place CHARLES BRIAN PELSHAW (MD) around Detroit, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for CHARLES BRIAN PELSHAW (MD) is noted as June 1, 2006 where the registry provides it.

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