NPIMap

Organization Active NPI

Henry Ford Cornerstone Medical Group

  • Family Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1851765374
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HENRY FORD CORNERSTONE MEDICAL GROUP
Doing business as
Henry Ford Cornerstone Medical Group
Practice address
43900 Garfield Rd Ste 222
Clinton Township, MI 48038-1137
Phone
(586) 286-0050
Fax
(586) 286-0880
NPI assigned
Nov 20, 2015
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Kimberly Cebalt
Title
Director-Provider Affairs
Phone
(313) 874-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

43900 Garfield Rd Ste 222
Clinton Township, MI 48038-1137

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Other names 1

  • Henry Ford Cornerstone 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
O20160127001523 MI Part B Supplier - Clinic/Group Practice 7517162761 Receives reassigned benefits from 85 practitioners
Practice locations: Roseville, MI; Washington, MI; Warren, MI; Sterling Heights, MI; St Clair Shores, MI; Shelby TWP, MI; Shelby Township, MI; Saint Clair Shores, MI…

National Provider Directory

National Provider Directory
Tax ID family
Ascension Michigan CMG2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994

36075 Utica Rd
Clinton Township, MI 48035

22101 Moross Rd
Ste 304
Detroit, MI 48236

22201 Moross Rd
Ste 252PBII
Grosse Pointe, MI 48236

46591 Romeo Plank Rd
Ste 131
Macomb, MI 48044
Phone (586) 226-6000

46951 Romeo Plank Rd
Ste 131
Macomb, MI 48044

46951 Romeo Plank Rd
Ste 131
Macomb, MI 48044
Phone (586) 226-6080

18263 E 10 Mile Rd
Ste E
Roseville, MI 48066
Phone (586) 552-8696

19357 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-0330

20225 E 9 Mile Rd
Ste 220
Saint Clair Shores, MI 48080

20225 E 9 Mile Rd
Ste A100
Saint Clair Shores, MI 48080

20229 E 9 Mile Rd
#200
Saint Clair Shores, MI 48080
Phone (586) 267-0200

20229 E 9 Mile Rd
Ste 220
Saint Clair Shores, MI 48080
Phone (586) 939-9900

20952 E 12 Mile Rd
Saint Clair Shores, MI 48081
Phone (586) 498-3500

20952 E 12 Mile Rd
Ste 100
Saint Clair Shores, MI 48081
Phone (586) 498-3550

13935 Plumbrook Rd
Sterling Heights, MI 48312
Phone (586) 939-9900

2800 Livernois Rd
Ste 275
Troy, MI 48083

28295 Schoenherr Rd
Warren, MI 48088
Phone (586) 558-8160

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Practitioners & affiliated clinicians

Practitioners 142

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.

View all 142

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1851765374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD RD STE 222",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381137",
            "telephone_number": "586-286-0050",
            "fax_number": "586-286-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD CORNERSTONE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "CEBALT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR-PROVIDER AFFAIRS",
        "authorized_official_telephone_number": "313-874-6764"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Cornerstone Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.