Henry Ford Health Rochester Hospital
Organization Active NPI Neurology Physician · Rochester, MI
NPI 1366565442 · NPPES record last updated Feb 13, 2026
Key facts
- NPI
- 1366565442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- 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 on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 7
Practitioners 208
-
Monica A Aguilar, MD
-
Rasha Bahri, FNP-BC
-
John Collins Brabant, PA-C
-
Jeffrey H Declaire, M.D.
-
Robert G. Dekker II, M.D.
-
Timothy Dekker, MD
-
Aimee Fairless, PA-C
-
Nicholas B Frisch, M.D.
-
Jennifer Galan, PA
-
Nada Hana Bachuri, M.D.
-
Heidi Hilton Kosch, D.O.
-
Eleanor King, M.D.
-
Rachel Maryann Klamo, D.O.
-
Zain Imad Kulairi, M.D.
-
Sarwan Kumar, MD
-
John Ernest Lamacchia, M.D.
-
Nathan Evin Marshall, M.D.
-
Lynn Louise Mathia, D.O.
-
Nancy Lynn Mattoni, NURSE PRACTIONER
-
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 |
|---|---|---|---|---|
| O20071117000068 | MI | Part B Supplier - Clinic/Group Practice | 8820994098 |
Receives reassigned benefits from 85 practitioners 2 other NPIs on this enrollment Practice locations: Auburn Hills, MI; Washington, MI; Rochester Hills, MI; Rochester, MI; Oxford, MI |
National Provider Directory
Locations
2251 N Squirrel Rd
Auburn Hills, MI 48326
Phone (248) 652-5900
57850 Van Dyke Rd
Ste 600
Washington, MI 48094
Phone (586) 738-9448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | 630070 | MI | Yes |
Addresses
Primary practice location
1101 W University Dr
Rochester, MI 48307-1863
Mailing address
1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F34941 | Other | MI | PROFESSIONAL NEUR |
Other providers in Rochester, MI
- 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
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
All providers in Rochester, MI · Neurology 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 Feb 13, 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.