NPIMap

Organization Active NPI

Henry Ford Health System

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Detroit, MI
National Provider Identifier
1083798326
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
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
Oct 24, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Kelly Ratowski
Title
Director-Office of Provider Affairs
Phone
(313) 874-4806

Other NPIs on the same Medicare enrollment 28

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

View all 28

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Ashraf Shaaban Abdel Aziz Abou El Ela, MD
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Jackson, MI
    • NPI 1609149632

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Raed Mohammad Alnajjar, M.D.
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Detroit, MI
    • NPI 1215107982

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Miguel F Alvelo-Rivera, MD
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Midland, MI
    • NPI 1376514778

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Hossein Amirjamshidi, M.D., MSC.
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Jackson, MI
    • NPI 1932561941

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Dimitrios Apostolou, M.D.
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Pontiac, MI
    • NPI 1851310718

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Michael Bousamra II, M.D.
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Grosse Pointe Woods, MI
    • NPI 1669411781

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Corbin Cleary, MD
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Clinton Township, MI
    • NPI 1184001455

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Adam Simon Daly
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Detroit, MI
    • NPI 1689253932

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Divyakant B Gandhi, MD
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Clinton Township, MI
    • NPI 1912004458

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Sarika Narendra Joshi, MD
    • Diagnostic Radiology Physician
    • Farmington Hills, MI
    • NPI 1386887750
    NPD
  • Kyle Miletic, M.D.
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Detroit, MI
    • NPI 1407240492

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
  • Hassan W. Nemeh, M.D.
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Detroit, MI
    • NPI 1487634044

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    NPD
View all 14

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000139 MI Part B Supplier - Clinic/Group Practice 0547178311 Receives reassigned benefits from 1,862 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Novi, MI; Sterling Heights, MI; Southfield, MI; Saint Clair Shores, MI; Royal Oak, MI; Plymouth, MI; Northville, MI; Milford, 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 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

24445 Northwestern Hwy
Southfield, MI 48075
Phone (248) 483-7804

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 830190 MI Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2024.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1083798326",
    "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": "2006-10-24",
        "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-OFFICE OF PROVIDER AFFAIRS",
        "authorized_official_telephone_number": "313-874-4806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "830190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.