Active NPI
Charles Ludeke Loredo, D.O.
- Family Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101017345
- Practice address
- 102 W Pierson Rd
Flint, MI 48505-3348 - Phone
- (810) 222-3033
- Fax
- (810) 407-5729
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101017345 | MI | Primary |
Addresses
Primary practice location
102 W Pierson Rd
Flint, MI 48505-3348
Mailing address
PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730
Other practice location 1
18610 Fenkell St
Detroit, MI 48223-2378
Phone (313) 723-6000
Other practice location 2
11260 E Jefferson Ave
Detroit, MI 48214-3320
Phone (313) 749-0148
Other practice location 3
3525 Saginaw Rd
Burton, MI 48529
Phone (810) 222-3040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11260 E Jefferson Ave
Jefferson Village Clinic
Detroit, MI 48214-3320
Phone (313) 749-0148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-Mi Physicians Group PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- cloredo240446@direct.hfhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1700236478
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1427249408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746723",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746723",
"telephone_number": "312-733-9730",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W PIERSON RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485053348",
"telephone_number": "810-222-3033",
"fax_number": "810-407-5729"
}
],
"practiceLocations": [
{
"address_1": "18610 Fenkell St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482232378",
"country_code": "US",
"telephone_number": "313-723-6000",
"fax_number": "313-424-4058",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11260 E Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482143320",
"country_code": "US",
"telephone_number": "313-749-0148",
"fax_number": "313-263-3298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3525 Saginaw Rd",
"address_purpose": "LOCATION",
"city": "Burton",
"state": "MI",
"postal_code": "48529",
"country_code": "US",
"telephone_number": "810-222-3040",
"fax_number": "810-958-1176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOREDO",
"first_name": "CHARLES",
"middle_name": "LUDEKE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101017345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.