Henry Ford Health Rochester Hospital
Organization Active NPI Family Medicine Physician · Rochester, MI
NPI 1184747263 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1184747263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 630070 (MI)
- Legal business name
- HENRY FORD HEALTH ROCHESTER HOSPITAL
- Practice address
- 1101 W University Dr
Rochester, MI 48307-1863 - Phone
- (248) 652-5000
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Kimberly Cebalt
- Title
- Director
- Phone
- (313) 874-6764
Other NPIs on the same Medicare enrollment 4
Practitioners 171
-
Ahmed Abdullah, MD
-
Mazen Sami Afram, MD
-
Monica A Aguilar, MD
-
Kehinde A. Ayeni, MD
-
Rasha Bahri, FNP-BC
-
Jonathan Becker, CRNA
-
Megan F. Berg, RN-BSN, DNP, CRNA
-
Heidi M Beverly, CRNA
-
Andrea C Blake, M.D.
-
Jeremy Bliss, CRNA
-
Nadia Bounhiza, CRNA
-
John Collins Brabant, PA-C
-
Katie Ann Brubaker, FNP-C
-
Tricia Lynn Buchanan, CRNA
-
Gregory Edward Burcz Jr., DNAP
-
Sara Burke, D.O.
-
Vesna Cadikovska, PA-C
-
Nishit Arvind Choksi, M.D.
-
Willecia A Christian, CRNA
-
Candace M Chu, CRNA
-
Ginger Connor, MD
-
George Contos, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040316000704 | MI | Part B Supplier - Clinic/Group Practice | 8820994098 |
Receives reassigned benefits from 63 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rochester Hills, MI |
| O20071117000068 | MI | Part B Supplier - Clinic/Group Practice | 8820994098 |
Receives reassigned benefits from 85 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Auburn Hills, MI; Washington, MI; Rochester Hills, MI; Rochester, MI; Oxford, MI |
National Provider Directory
Locations
2251 N Squirrel Rd
Ste 330
Auburn Hills, MI 48326
Phone (248) 601-7593
2251 N Squirrel Rd
Ste 101
Auburn Hills, MI 48326
Phone (248) 652-5653
650 Letica Dr
Rochester, MI 48307
Phone (248) 601-2888
1135 W University Dr
Ste 250
Rochester Hills, MI 48307
Phone (248) 650-6301
42370 Van Dyke Ave
Ste 100
Sterling Hts, MI 48314
Phone (586) 254-1117
57850 Van Dyke Rd
Ste 200
Washington, MI 48094
Phone (248) 353-0880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 630070 | MI | Yes |
Addresses
Primary practice location
1101 W University Dr
Rochester, MI 48307-1863
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F32152 | Other | MI | PROFESSIONAL MULTI |
Other providers in Rochester, MI
- Jodi Nikita Hastings
- Hea Gynecology
- Healing Mindset
- Health & Healing Chiropractic LLC
- Rebecca Catherine Heeney
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
All providers in Rochester, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.