Henry Ford Health System

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Greenfield Health Systems

Practice address

39525 W 14 Mile Rd
Suite 200
Novi, MI 48377-1632

Phone

(248) 723-0219

NPI assigned

Mar 7, 2012

Last updated

Aug 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David F Shepherd

Title

Vice President

Phone

(248) 642-5038

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GREENFIELD HEALTH SYSTEMS Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

GHS Western Regional Home DialysisCCN 232685

Ownership

Non-profit

Certified

Nov 21, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Greenfield Health Systems

Dialysis stations

3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Henry Ford Medical Center Lakeside158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Henr Y Ford Health System

  • Advanced Practice Midwife
  • Detroit, MI
  • NPI 1902982093
  NPD tax ID
• Henr Y Ford Health System

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1952485351
  NPD tax ID
• Henry Ford Behavioral Health- West Bloomfield

  • Ambulatory Surgical Clinic/Center
  • West Bloomfield, MI
  • NPI 1932621554
  NPD tax ID
• Henry Ford Health System

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1861576266
  NPD tax ID
• Henry Ford Health System

  • Urgent Care Clinic/Center
  • Livonia, MI
  • NPI 1861787558
  NPD tax ID
• Henry Ford Health System

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
  • NPI 1871666479
  NPD tax ID
• Henry Ford Health System

  • Multi-Specialty Clinic/Center
  • Detroit, MI
  • NPI 1881809226
  NPD tax ID
• Henry Ford Health System

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1891702833
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Medical Center Pharmacy

  • Community/Retail Pharmacy
  • West Bloomfield, MI
  • NPI 1891889143
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Pharmacy Shared Services

  • Pharmacy
  • Detroit, MI
  • NPI 1902757784
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1922192277
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Community Health Worker Hub

  • Community Health Worker
  • Detroit, MI
  • NPI 1922971332
  NPD tax ID

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hassan Fehmi, M.D.

  • Nephrology Physician
  • Eastpointe, MI
  • NPI 1366535130

  Dialysis facility

  Care Compare affiliation Name & address match
• Jyothsna I Herek, M.D.

  • Nephrology Physician
  • West Bloomfield, MI
  • NPI 1669676169

  Dialysis facility

  Care Compare affiliation Name & address match
• Vanji Karthikeyan, M.D.

  • Nephrology Physician
  • Detroit, MI
  • NPI 1003984550

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1932473063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254514",
            "telephone_number": "248-723-0224",
            "fax_number": "248-642-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD",
            "address_2": "SUITE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771632",
            "telephone_number": "248-723-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-642-5038",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SECONDARY",
            "identifier": "K9427",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRIMARY",
            "identifier": "K8926",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENFIELD HEALTH SYSTEMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Henning-O'Connor
• Ambyr Henninger
• Henry Ford Health Providence Hospital (Henry Ford Health Providence Novi Hospital)
• Henry Ford Health Providence Hospital
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Henry Ford Medical Center Columbus
• Henry Ford Semi Medical Group
• Henry Ford West Bloomfield Physicans
• Joe Wesley Henry III
• Kylee R Henry

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Novi, MI
• Providers in Novi, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.