Active NPI
Henry Ford Health System
- Anesthesiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 830190
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-2600
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Ratowski
- Title
- Director of Provider Affairs
- Phone
- (313) 874-4806
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 830190 | MI | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pediatric Anesthesiology Physician | 207LP3000X |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000300 | MI | Part B Supplier - Clinic/Group Practice | 0547178311 |
Receives reassigned benefits from 129 practitioners Practice locations: Troy, MI; Northville, MI; Novi, MI; Plymouth, MI; Rochester, MI; Royal Oak, MI; Southfield, MI; St Clair Shores, MI… |
National Provider Directory
National Provider Directory- Tax ID family
- Henry for Hospital
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1043930241
-
- Clinic/Center
- Detroit, MI
- NPI 1043236300
-
- Pediatrics Physician
- Detroit, MI
- NPI 1003990318
-
- Community/Retail Pharmacy
- Royal Oak, MI
- NPI 1013686492
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Detroit, MI
- NPI 1023170115
-
- Anesthesiology Physician
- Grosse Pointe Farms, MI
- NPI 1023297207
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1023616554
-
- General Acute Care Hospital
- Grosse Pointe Farms, MI
- NPI 1033374632
-
- Vascular & Interventional Radiology Physician
- Detroit, MI
- NPI 1013119817
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1003143397
-
- General Acute Care Hospital
- Shelby Township, MI
- NPI 1023446176
-
- Developmental Disabilities Clinic/Center
- Southfield, MI
- NPI 1013348051
Locations
14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700
6530 Farmington Rd
West Bloomfield, MI 48322
Phone (248) 451-6010
Interoperability endpoints
- https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
Ownership & related parties
All facility ownership & control disclosures 26
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Henry Ford Genesys Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Genesys Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Warren Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Madison Heights Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Heights Madison Heights Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Macomb Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Henry Ford Macomb Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2007 |
| Henry Ford Health - St. John Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
| Wyandotte Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Rochester Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Jackson Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Jackson Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Brighton Center for Recovery | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health River District Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Behavioral Health Hospital | Hospital | 5% Or Greater Direct Ownership Interest (17.4%) General Partnership Interest (17.4%) |
Feb 23, 2025 Feb 23, 2025 |
| Henry Ford Health Jackson Hospital | Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Allegiance Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
Practitioners & affiliated clinicians
Practitioners 221
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Anesthesiology) Physician
- Detroit, MI
- NPI 1689033748
Anesthesiology, MI
-
- Anesthesiology Physician
- Pontiac, MI
- NPI 1154494656
Anesthesiology, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1003989690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "RATOWSKI",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER AFFAIRS",
"authorized_official_telephone_number": "313-874-4806"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "MI",
"license": "830190",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Henry Ford Health St. John Hospital
- Henry Ford Health St. John Hospital
- Henry Ford Health St. John Hospital
- Henry Ford Health St. John Hospital
- Henry Ford Health St. John Hospital
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.