Active NPI
Henry Ford Macomb Hospital Corporation
Doing business as Henry Ford Macomb Hospital
- Orthopaedic Surgery Physician
- Clinton Township, MI
National Provider Identifier
1790069714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- HENRY FORD MACOMB HOSPITAL CORPORATION
- Doing business as
- Henry Ford Macomb Hospital
- Practice address
- 15520 19 Mile Rd
Suite 430
Clinton Township, MI 48038-6333 - Phone
- (586) 228-6200
- Fax
- (586) 228-6201
- NPI assigned
- Oct 10, 2011
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Ratowski
- Title
- Director of Provider Affairs
- Phone
- (248) 703-2003
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MI | Primary | |
| Otolaryngology Physician | 207Y00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
15520 19 Mile Rd
Suite 430
Clinton Township, MI 48038-6333
Mailing address
PO Box 670844
Detroit, MI 48267-0844
Phone (800) 999-5829
Other names 1
- Henry Ford Macomb Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040522000104 | MI | Part B Supplier - Clinic/Group Practice | 7911808381 |
Receives reassigned benefits from 108 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clinton TWP, MI |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1073844106
O20040522000104
-
- Certified Registered Nurse Anesthetist
- Clinton Township, MI
- NPI 1528130739
O20040522000104
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Hand Surgery Physician
- Detroit, MI
- NPI 1932519162
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Clinton Township, MI
- NPI 1255505723
-
- Orthopaedic Surgery Physician
- Clinton TWP, MI
- NPI 1063822377
-
- Physician Assistant
- Shelby TWP, MI
- NPI 1588945349
-
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1730399148
-
- Orthopaedic Surgery Physician
- Clinton TWP, MI
- NPI 1386176717
-
- Orthopaedic Surgery Physician
- Chesterfield, MI
- NPI 1609877463
-
- Foot & Ankle Surgery Podiatrist
- Clinton Township, MI
- NPI 1326043316
-
- Orthopaedic Surgery Physician
- Saint Clair Shores, MI
- NPI 1003231796
-
- Orthopaedic Surgery Physician
- Clinton Township, MI
- NPI 1538691902
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Detroit, MI
- NPI 1679893663
-
- Foot & Ankle Surgery Podiatrist
- Detroit, MI
- NPI 1093120297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1790069714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670844",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670844",
"telephone_number": "800-999-5829",
"fax_number": "810-732-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15520 19 MILE RD",
"address_2": "SUITE 430",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386333",
"telephone_number": "586-228-6200",
"fax_number": "586-228-6201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD MACOMB HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-10",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "RATOWSKI",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER AFFAIRS",
"authorized_official_telephone_number": "248-703-2003"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Ford Macomb Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Henry Ford Macomb Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton Township, MI
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation (Henry Ford Macomb Hospital)
- Henry Ford Macomb Hospital Corporation (Henry Ford Macomb Hospitals)
- Henry Ford Macomb Hospital Corporation
- Henry Ford Macomb Hospital Corporation (Henry Ford Diabetes Prevention Program)
- Henry Ford Macomb Hospital Corporation (Henry Ford Macomb Hospital)
- Henry Ford Macomb Hospitals
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.