HENRI GODBOLD (M.D) – Geriatric Medicine (Internal Medicine) Physician, NPI 1407012834
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
216 GENERAL PRACTICE in MI
Provider Addresses for HENRI GODBOLD (M.D)
3956 Mount Elliott St
Detroit, MI 482071841
Phone: (313) 925-4540
Fax: (313) 925-4606
Type: Location
PO BOX 721471
BERKLEY, MI 480720471
Phone: (313) 300-2024
Fax: (888) 350-8965
Type: Mailing
3956, Mount Elliott Street, McDougall-Hunt, Detroit, Wayne County, Michigan, 48207, United States
DETROIT, MI 482071841
Phone: (313) 925-4540
Fax: (313) 925-4606
Type: Location
9021 Joseph Campau St
Hamtramck, MI 482123726
Phone: (313) 871-1926
Fax: (313) 871-1964
Type: Location
195 W 9 Mile Rd
Ferndale, MI 482202914
Phone: (248) 773-1829
Fax: (855) 369-3300
Type: Location
18000 W 9 MILE RD STE 200
SOUTHFIELD, MI 480754020
Phone: (248) 336-4000
Fax: (248) 336-9137
Type: Mailing
20901 W 7 MILE RD
DETROIT, MI 482191904
Phone: (313) 564-5510
Fax: (248) 581-8839
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: PFIZER INC. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $18 |
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: 2008-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080926000381 | I | General Practice | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 457 | 304 | $0 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 403 | 264 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 167 | 137 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 97 | 90 | $0 |
| 81002 | Urinalysis, manual test | 92 | 84 | $0 |
Insurance plans in this area (ZIP 48207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MI | |
| Family Practice | MI | |
| Internal Medicine, Critical Care (Intensivists) | MI | |
| Family Practice | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Family Practice | MI | |
| - | MI | |
| Family Practice | MI | |
| Emergency Medicine, Family Practice | MI |
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