Individual provider Active NPI

Thelma J Caison-Sorey, M.D, MBA

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1912122995
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301044212 Issued in MI
Practice address
1 Ford PL
Department of Pediatrics 4B
Detroit, MI 48202-3450
Phone
(313) 448-8366
Fax
(800) 472-0118
NPI assigned
Apr 16, 2007
Last updated
May 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301044212 MI Primary

Addresses

Primary practice location

1 Ford PL
Department of Pediatrics 4B
Detroit, MI 48202-3450

Mailing address

Henry Ford Health System, 1 Ford Place
Department of Pediatrics, Suite 4B,
Detroit, MI 48202-2608
Phone (313) 448-8366

Other names 1

  • Dr. Thelma Jann Caison Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000310 MI Practitioner - Pediatric Medicine 1254464928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301044212MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Pediatrics CurrentSince May 5, 2010 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince May 5, 2010 Accepting new patients

Locations

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

1 Ford Pl
#4B
Detroit, MI 48202
Phone (248) 928-6949

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

1 Ford Pl
Ste 4B
Detroit, MI 48202
Phone (313) 874-9591

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

7800 W Outer Dr
Detroit, MI 48235
Phone (313) 387-8800

159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000

39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-2300

3500 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 977-9300

Interoperability endpoints

  • Direct secure messaging: tcaisonsorey12691@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1912122995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM, 1 FORD PLACE",
            "address_2": "DEPARTMENT OF PEDIATRICS, SUITE 4B,",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-448-8366",
            "fax_number": "800-472-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORD PL",
            "address_2": "DEPARTMENT OF PEDIATRICS 4B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-448-8366",
            "fax_number": "800-472-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAISON-SOREY",
        "first_name": "THELMA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301044212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THELMA",
            "last_name": "CAISON",
            "middle_name": "JANN",
            "prefix": "DR.",
            "credential": "MD, MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.