NPIMap

Organization Active NPI

Henry Ford Health St. John Hospital

Doing business as St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1023088168
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HENRY FORD HEALTH ST. JOHN HOSPITAL
Doing business as
Henry Ford Health St. John Hospital
St John Hospital and Medical Center
Practice address
3187 Solutions Ctr
Chicago, IL 60677-3001
Phone
(248) 680-8000
NPI assigned
Jan 23, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Robin Damschroder
Title
President, Val Based ENT & Cfo
Phone
(313) 876-8452

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3187 Solutions Ctr
Chicago, IL 60677-3001

Mailing address

PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829

Other practice location 1

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

Other practice location 2

31500 Telegraph Rd Ste 225
Bingham Farms, MI 48025-4315
Phone (248) 552-0620

Other practice location 3

17900 23 Mile Rd Ste 403
Macomb, MI 48044-1161
Phone (586) 868-9082

Other practice location 4

1901 Star Batt Dr Ste 100D
Rochester Hills, MI 48309-3767
Phone (248) 844-4018

Other practice location 5

31500 Telegraph Rd Ste 10
Bingham Farms, MI 48025-4343
Phone (248) 552-0620

Other practice location 6

47601 Grand River Ave
Novi, MI 48374-1233
Phone (258) 552-0620 ext. 2120

Other practice location 7

36750 26 Mile Rd
Chesterfield, MI 48047-2926
Phone (586) 868-9050

Other practice location 8

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 576-4596

Other practice location 9

21000 E 12 Mile Rd
Saint Clair Shores, MI 48081-1116
Phone (586) 447-5030

Other practice location 10

22301 Foster Winter Dr Fl 2
Southfield, MI 48075-3707
Phone (248) 552-0620

Other practice location 11

4014 River Rd Ste 1
East China, MI 48054-2916
Phone (810) 326-1229

Other practice location 12

19229 Mack Ave
Grosse Pointe Woods, MI 48236-2858
Phone (313) 647-3250

Other practice location 13

17700 23 Mile Rd
Macomb, MI 48044-1154
Phone (586) 416-7500

Other names 2

  • Henry Ford Health St. John Hospital Doing business as
  • St John Hospital and Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070604000637 MI Part A Provider - Hospital 3173424082
O20101230000745 MI Part A Provider - Hospital 3173424082 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Detroit, MI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1023088168. Details of each certification follow.

Hospital certification: CCN 230165

Legal name
HENRY FORD HEALTH ST. JOHN HOSPITAL
Doing business as
HENRY FORD HEALTH - ST. JOHN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 21, 2009
Beds
625 (572 certified)
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
22101 Moross Rd
Detroit, MI 48236-2148
Hospital subgroups
Acute care

Hospital certification: CCN 23T165

Legal name
HENRY FORD HEALTH ST. JOHN HOSPITAL
Doing business as
HENRY FORD HEALTH - ST. JOHN HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
22101 Moross Rd
Detroit, MI 48236-2148
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Henry Ford Health St John HospitalCCN 230165 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Ascension St John HospitalCCN 23T165 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2010

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 82)

3187 Solutions Ctr
Chicago, IL 60677

31500 Telegraph Rd
Ste 10
Bingham Farms, MI 48025
Phone (248) 594-4913

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

36750 26 Mile Rd
Ste 105
Chesterfield, MI 48047
Phone (586) 879-2000

36750 26 Mile Rd
Ste 110
Chesterfield, MI 48047
Phone (586) 879-2000

36750 26 Mile Rd
Ste 130
Chesterfield, MI 48047
Phone (586) 879-2000

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

15000 Gratiot Ave
Ste 120
Detroit, MI 48205
Phone (313) 245-1400

22101 Moross Rd
Ste 270
Detroit, MI 48236
Phone (313) 343-3481

22101 Moross Rd
Ste 450
Detroit, MI 48236

22101 Moross Rd
Ste 56
Detroit, MI 48236
Phone (313) 343-3711

22151 Moross Rd
#105
Detroit, MI 48236
Phone (313) 343-3490

22151 Moross Rd
Ste 123
Detroit, MI 48236
Phone (313) 343-7166

22151 Moross Rd
Ste 145
Detroit, MI 48236
Phone (313) 343-8701

22151 Moross Rd
Ste B145
Detroit, MI 48236
Phone (313) 343-8701

22201 Moross Rd
Ste 480
Detroit, MI 48236
Phone (313) 343-3048

4849 Canyon St
Detroit, MI 48236
Phone (313) 343-8308

4014 S River Rd
Ste 1
East China, MI 48054
Phone (810) 326-1229

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

22151 Moross Rd
Ste 105
Grosse Pointe, MI 48236
Phone (313) 343-3048

22151 Moross Rd
Ste 209
Grosse Pointe, MI 48236
Phone (313) 343-0790

22151 Moross Rd
Ste 214
Grosse Pointe, MI 48236
Phone (313) 343-4867

22151 Moross Rd
Ste 223
Grosse Pointe, MI 48236
Phone (313) 343-4046

22151 Moross Rd
Ste 228
Grosse Pointe, MI 48236
Phone (313) 343-4181

22201 Moross Rd
Ste 150
Grosse Pointe, MI 48236
Phone (313) 343-7110

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel J. Phelan Individual Corporate DirectorBoard Member Jan 1, 2022
Henry Ford Health System Organization, Troy, MI Non-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 18, 1987 100%
Charles McClure Individual Corporate DirectorBoard Member Jul 25, 2014
Robert R Lubera Individual Corporate DirectorBoard Member Jan 1, 2025
Barry G. Porter Individual Corporate DirectorBoard Member Jan 1, 2020
Steven Brian Bender Individual Corporate OfficerBoard Member Oct 21, 2024
Corporate OfficerSecretary Oct 21, 2024
Gerardo Norcia Individual Corporate DirectorBoard Member Dec 1, 2023
Robert Riney Individual Corporate DirectorBoard Member Jul 1, 2022
Michael Rafferty Individual Corporate DirectorBoard Member Jan 1, 2020
Jeffrey Fall Individual Corporate DirectorBoard Member Jan 1, 2025
Farzan Siddiqui Individual Corporate DirectorBoard Member Jan 1, 2024
Marjorie Staten Individual Corporate OfficerAssistant Secretary Oct 21, 2024
Rhonda M Medows Individual Corporate DirectorBoard Member Jan 1, 2025
David Breen Individual Corporate DirectorBoard Member Jan 1, 2015
Mary Ann Victor Individual Corporate DirectorBoard Member Jan 1, 2025
Jason Williams Individual W-2 Managing Employee Oct 1, 2024
Anthony Rocco Tersigni Individual Corporate DirectorBoard Member Oct 1, 2024
Robin S. Damschroder Individual Corporate OfficerTreasurer Oct 1, 2024
Operational/Managerial ControlTreasurer Oct 1, 2024
Calvin R Ford Individual Corporate DirectorBoard Member Jan 1, 2025
Gregory Pflum Individual Corporate DirectorBoard Member Sep 1, 2025
Henry Ford Health Parent Organization, Detroit, MI Created for acquisition, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2024 80%
Edward D Callaghan Individual Corporate DirectorBoard Member Jan 1, 2025
John F. Harris Individual Corporate DirectorBoard Member Jan 1, 2021
Ascension Health Organization, Saint Louis, MO Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2024 20%
Edgar Vann Individual Corporate DirectorBoard Member Jan 1, 2015
Lisa Fitzpatrick Individual Corporate DirectorBoard Member Jan 1, 2025
Joseph Richardson Individual Corporate DirectorBoard Member Jan 1, 2016
Gwendolyn M Mackenzie Individual Corporate DirectorBoard Member Jan 1, 2025
Jacalyn S. Goforth Individual Corporate DirectorBoard Member Jan 1, 2022
Eugene F Lovasco Individual Corporate DirectorBoard Member Oct 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 159

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 159

Practitioners & affiliated clinicians

Practitioners 941

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 941

Affiliated clinicians 1,222

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,222

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1023088168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884",
            "telephone_number": "800-999-5829",
            "fax_number": "248-641-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773001",
            "telephone_number": "248-680-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22101 Moross Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362148",
            "country_code": "US",
            "telephone_number": "313-343-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31500 Telegraph Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254315",
            "country_code": "US",
            "telephone_number": "248-552-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17900 23 Mile Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480441161",
            "country_code": "US",
            "telephone_number": "586-868-9082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Star Batt Dr Ste 100D",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483093767",
            "country_code": "US",
            "telephone_number": "248-844-4018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31500 Telegraph Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254343",
            "country_code": "US",
            "telephone_number": "248-552-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47601 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741233",
            "country_code": "US",
            "telephone_number": "258-552-0620 x2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36750 26 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480472926",
            "country_code": "US",
            "telephone_number": "586-868-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480933472",
            "country_code": "US",
            "telephone_number": "586-576-4596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21000 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811116",
            "country_code": "US",
            "telephone_number": "586-447-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22301 Foster Winter Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753707",
            "country_code": "US",
            "telephone_number": "248-552-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4014 River Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "East China",
            "state": "MI",
            "postal_code": "480542916",
            "country_code": "US",
            "telephone_number": "810-326-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19229 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482362858",
            "country_code": "US",
            "telephone_number": "313-647-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17700 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480441154",
            "country_code": "US",
            "telephone_number": "586-416-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENRY FORD HEALTH ST. JOHN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "DAMSCHRODER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT, VAL BASED ENT & CFO",
        "authorized_official_telephone_number": "313-876-8452"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health St. John Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St John Hospital and Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St John Hospital and Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.