Organization Active NPI

Henry Ford Health System

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1003989690
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
830190 Issued in MI
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

Updated by the provider on Aug 23, 2024

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 830190 MI Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pediatric Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Hospital158 organizations share this tax ID, including this one

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.

View all 14

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

  • FHIR API: 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.

FacilityTypeRoleSince
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 23T197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 230019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23S019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23T019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 230197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 230165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Warren HospitalWarren, MI, CCN 230195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Madison Heights HospitalWarren, MI, CCN 23T195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Heights Madison Heights HospitalWarren, MI, CCN 23S195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Macomb HospitalClinton Township, MI, CCN 230047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Henry Ford Macomb HospitalClinton Township, MI, CCN 23T047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23S165 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Wyandotte Hospital and Medical CenterWyandotte, MI, CCN 230146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23T146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23S146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Rochester HospitalRochester, MI, CCN 230254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23S254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23T254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Jackson HospitalJackson, MI, CCN 230092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Jackson HospitalJackson, MI, CCN 23S092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Brighton Center for RecoveryBrighton, MI, CCN 230279 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health River District HospitalEast China, MI, CCN 230241 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23T165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Behavioral Health HospitalWest Bloomfield, MI, CCN 234011 Hospital 5% Or Greater Direct Ownership Interest (17.4%)
General Partnership Interest (17.4%)
Feb 23, 2025
Feb 23, 2025
Henry Ford Health Jackson HospitalJackson, MI, CCN 237405 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Allegiance HospiceJackson, MI, CCN 231523 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.

View all 221

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

Sources for this page

Verify at the official NPI Registry.