Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bismark Kodji, MD

Individual provider Internal Medicine Physician · NPI 1114415460

Dr. Bismark Kodji, MD is an Internal Medicine in Detroit, Michigan. Qualified in 2014, 12 years ago. Practices with Usacs Integrated Acute Care Services of Ohio LLC, a 234-clinician group and accepts Medicare assignment. Licensed in Iowa, Indiana and Ohio.

Years since qualifying
12
Licensed in
IA, IN, OH
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4201 St Antoine St
Detroit, MI 48201-2153
Phone: (313) 966-7434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.144273 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD-47926 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01097348A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114415460
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2018
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Usacs Integrated Acute Care Services Of Ohio Llc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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