Henry Ford Health Rochester Hospital
Organization Active NPI Pulmonary Disease Physician · Rochester, MI
NPI 1275656357 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1275656357
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- 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
- Manager
- Phone
- (313) 874-6764
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 8
Practitioners 109
-
Ahmad Ghabsha, MD
-
Muhammad Kashlan, MD
-
Robert R Reagle, DO
-
Monica A Aguilar, MD
-
Rasha Bahri, FNP-BC
-
Jeffrey H Declaire, M.D.
-
Robert G. Dekker II, M.D.
-
Timothy Dekker, MD
-
Aimee Fairless, PA-C
-
Nicholas B Frisch, M.D.
-
Tessa Gaggo, PA-C
-
Jennifer Galan, PA
-
Nada Hana Bachuri, M.D.
-
Heidi Hilton Kosch, D.O.
-
Eleanor King, M.D.
-
Rachel Maryann Klamo, D.O.
-
John Ernest Lamacchia, M.D.
-
Sophie Lebrato, PA
-
Nathan Evin Marshall, M.D.
-
Lynn Louise Mathia, D.O.
-
Tess A McCready, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071117000078 | MI | Part B Supplier - Clinic/Group Practice | 8820994098 |
Receives reassigned benefits from 3 practitioners Practice locations: Rochester, MI |
National Provider Directory
- Tax ID family
- Crittenton Hosp Psychia
Locations
2251 N Squirrel Rd
Ste 201
Auburn Hills, MI 48326
Phone (248) 652-5437
22201 Moross Rd
Ste 450
Grosse Pointe, MI 48236
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | 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 |
|---|---|---|---|
| 0F34942 | Other | MI | PROFESSIONAL PULMONARY |
Other providers in Rochester, MI
- 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
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
All providers in Rochester, MI · Pulmonary Disease 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.