Individual provider Active NPI

Charles Brian Pelshaw, MD

  • Pediatric Rehabilitation Medicine Physician
  • Detroit, MI
National Provider Identifier
1255378741
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
4301063401 Issued in MI
Practice address
3901 Beaubien 1St Floor Main Building
Childrens Hospital Mi
Detroit, MI 48201
Phone
(313) 993-2757
NPI assigned
Jun 1, 2006
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301063401 MI
Pediatric Rehabilitation Medicine Physician 2081P0010X 4301063401 MI Primary

Addresses

Primary practice location

3901 Beaubien 1St Floor Main Building
Childrens Hospital Mi
Detroit, MI 48201

Mailing address

4201 St. Antoine - Uhc 5D Mailbox 226
University Pediatricians
Detroit, MI 48201-2153
Phone (313) 745-4405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090501000448 MI Practitioner - Physical Medicine and RehabilitationPractitioner - Pediatric Medicine 9638227598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
University PediatriciansGroup PAC ID 9638070568, 121 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

1 Hurley PLZ
Flint, MI 48503-5993
Phone (810) 262-6623

2 Hurley PLZ
Flint, MI 48503-5904

2 Hurley PLZ
Suite 211
Flint, MI 48503-5905
Phone (810) 262-6520

302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8226

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870

806 Tuuri PL
Flint, MI 48503-2465
Phone (810) 262-9773

G 1125 S Linden Rd
Flint, MI 48503-5993

Two Hurley Plaza
Flint, MI 48503-5903
Phone (810) 239-9444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians CurrentSince Dec 12, 2016 Accepting new patients
University Pediatricians Pediatrics CurrentSince Dec 12, 2016 Accepting new patients
Hurley Medical Center CurrentSince Feb 23, 2009 Accepting new patients
University Pediatricians Pediatrics Current Accepting new patients
Hurley Medical Center Pediatrics CurrentSince Feb 23, 2009 Accepting new patients
Hurley Medical Center Current Accepting new patients
University Physician Group Pediatrics Past Accepting new patients
VHS Children's Hospital of Michigan, Inc. Past Accepting new patients
Rehabilitation Institute of Michigan Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Fl Main
Detroit, MI 48201
Phone (313) 745-5638

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1085 S Linden Rd
Ste 100
Flint, MI 48532
Phone (810) 262-2000

300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

5494 S Dort Hwy
Grand Blanc, MI 48507
Phone (810) 233-9901

Interoperability endpoints

  • Direct secure messaging: cpelshaw@direct.dmc.org
  • Direct secure messaging: cpelshaw1144253@direct.hfhs.org
  • Direct secure messaging: cpelshaw1538@direct.hurleymc.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1255378741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE - UHC 5D MAILBOX 226",
            "address_2": "UNIVERSITY PEDIATRICIANS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN 1ST FLOOR MAIN BUILDING",
            "address_2": "CHILDRENS HOSPITAL MI",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-993-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELSHAW",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301063401",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "MI",
            "license": "4301063401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.