NPIMap

Organization Active NPI

Henry Ford Semi Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Novi, MI
National Provider Identifier
1114133485
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HENRY FORD SEMI MEDICAL GROUP
Doing business as
Henry Ford Semi Medical Group
Practice address
26850 Providence Pkwy
Novi, MI 48374-1213
Phone
(248) 680-8000
Fax
(248) 292-3852
NPI assigned
May 15, 2007
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Kimberly Cebalt
Title
Director
Phone
(313) 874-6764

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MI Primary
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X MI
Surgery Physician 208600000X MI
Plastic and Reconstructive Surgery Physician 2086S0122X MI
Colon & Rectal Surgery Physician 208C00000X NU

Addresses

Primary practice location

26850 Providence Pkwy
Novi, MI 48374-1213

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Other names 1

  • HENRY FORD SEMI MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031113000362 MI Part B Supplier - Clinic/Group Practice 0648180406 Receives reassigned benefits from 110 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20031219000422 MI Part B Supplier - Clinic/Group Practice 0648180406 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson, MI; Brighton, MI; Howell, MI
O20081015000289 MI Part B Supplier - Clinic/Group Practice 0648180406 Receives reassigned benefits from 43 practitioners
2 other NPIs on this enrollment
Practice locations: Auburn Hills, MI; Warren, MI; Saint Clair Shores, MI; Novi, MI; Macomb, MI; Madison Heights, MI; Chesterfield, MI; Grosse Pointe Woods, MI…

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 15

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

View all 15

National Provider Directory

National Provider Directory
Tax ID family
St John OBGYN Associate15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations (25 of 97)

14575 Southfield Rd
Allen Park, MI 48101
Phone (313) 381-5170

1964 W 11 Mile Rd
Berkley, MI 48072
Phone (248) 544-9300

31500 Telegraph Rd
Ste 230
Bingham Farms, MI 48025
Phone (248) 593-9933

1021 Karl Greimel Dr
#100
Brighton, MI 48116
Phone (810) 225-4589

1021 Karl Greimel Dr
Ste 100
Brighton, MI 48116
Phone (810) 220-3766

7927 Nemco Way
Ste 265
Brighton, MI 48116
Phone (810) 225-4599

80600 Van Dyke Rd
Ste B
Bruce Twp, MI 48065
Phone (810) 798-3994

7200 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 619-0151

51086 Fairchild Rd
Chesterfield, MI 48051
Phone (586) 421-3160

42500 Hayes Rd
Ste 80
Clinton Township, MI 48038
Phone (586) 228-0200

36367 Harper Ave
Clinton Twp, MI 48035
Phone (313) 791-6868

36975 Utica Rd
Clinton Twp, MI 48036
Phone (586) 228-0500

43750 Garfield Rd
Ste 105
Clinton Twp, MI 48038
Phone (586) 226-6865

43750 Garfield Rd
Ste 211
Clinton Twp, MI 48038
Phone (586) 228-4652

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

7633 E Jefferson Ave
Ste 108
Detroit, MI 48214
Phone (586) 228-3180

4014 River Rd
Ste B
East China, MI 48054
Phone (586) 580-3062

4014 S River Rd
Ste 3B
East China, MI 48054
Phone (810) 329-4779

4014 S River Rd
Ste 6
East China, MI 48054
Phone (810) 329-6677

21421 Kelly Rd
Eastpointe, MI 48021
Phone (586) 773-8820

21421 Kelly Rd
Ste 2
Eastpointe, MI 48021
Phone (586) 773-8820

28080 Grand River Ave
Ste 205
Farmington Hills, MI 48336
Phone (248) 478-8616

32255 Northwestern Hwy
Ste 135
Farmington Hills, MI 48334
Phone (248) 885-4163

32255 Northwestern Hwy
Ste 170
Farmington Hills, MI 48334
Phone (248) 932-1250

2020 Middlebelt Rd
Ste C
Garden City, MI 48135
Phone (248) 465-3910

Practitioners & affiliated clinicians

Practitioners 372

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 372

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1114133485",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-680-8000",
            "fax_number": "248-292-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD SEMI MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "CEBALT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-874-6764"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD SEMI MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.