NPIMap

Organization Active NPI

Ascension Medical Group Michigan

Doing business as Henry Ford Semi Medical Group

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1730380254
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASCENSION MEDICAL GROUP MICHIGAN
Doing business as
Henry Ford Semi Medical Group
Practice address
37771 Schoenherr Rd
Suite 104
Sterling Heights, MI 48312-2302
Phone
(586) 274-2400
Fax
(586) 258-3333
NPI assigned
May 31, 2007
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION MEDICAL GROUP MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Rachel R Perry
Title
Manager
Phone
(248) 221-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MI Primary

Addresses

Primary practice location

37771 Schoenherr Rd
Suite 104
Sterling Heights, MI 48312-2302

Mailing address

PO Box 14129
Belfast, ME 04915-4032

Other identifiers 3

IdentifierTypeStateIssuer
700E020100OtherMIBCBSM GROUP NUMBER
CB2735OtherMIRAILROAD MEDICARE GROUP NUMBER
DG7739OtherMIRAILROAD MEDICARE GROUP NUMBER

Other names 1

  • HENRY FORD SEMI MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory
Part of
St John OBGYN Associate

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1730380254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14129",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37771 SCHOENHERR RD",
            "address_2": "SUITE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122302",
            "telephone_number": "586-274-2400",
            "fax_number": "586-258-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION MEDICAL GROUP MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION MEDICAL GROUP MICHIGAN",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-221-1918"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700E020100",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "CB2735",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DG7739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD SEMI MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.