NPIMap

Organization Active NPI

Henry Ford West Bloomfield Hospital

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1386920122
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HENRY FORD WEST BLOOMFIELD HOSPITAL
Practice address
6777 W. Maple
West Bloomfield, MI 48322-3013
Phone
(248) 661-4100
Fax
(248) 932-8977
NPI assigned
Oct 25, 2011
Organization subpart
Yes
Parent organization
HENRY FORD WEST BLOOMFIELD HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Mr. Joseph E Schmitt III
Title
Sr. Vice President
Phone
(313) 874-4920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6777 W. Maple
West Bloomfield, MI 48322-3013

Mailing address

6777 W. Maple Road
West Bloomfield, MI 48322-3013
Phone (248) 661-4100

Other names 1

  • Henry Ford West Bloomfield-Employed Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000176 MI Part B Supplier - Clinic/Group Practice 2264589449 Receives reassigned benefits from 161 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Bloomfield, MI

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Henry for Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 107

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

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1386920122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 W. MAPLE ROAD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-4100",
            "fax_number": "248-932-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W. MAPLE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-4100",
            "fax_number": "248-932-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD WEST BLOOMFIELD HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY FORD WEST BLOOMFIELD HOSPITAL",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "313-874-4920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford West Bloomfield-Employed Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.