Individual provider Active NPI

Lisa L Henderson, M.D.

  • Anesthesiology Physician
  • Ann Arbor, MI
National Provider Identifier
1952348070
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301061318 Issued in MI
Practice address
2006 Hogback Rd Ste 5a
Ann Arbor, MI 48105-9750
Phone
(734) 263-2417
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301061318 MI Primary

Addresses

Primary practice location

2006 Hogback Rd Ste 5a
Ann Arbor, MI 48105-9750

Mailing address

18100 Oakwood Blvd
Suite 100
Dearborn, MI 48124-4071
Phone (313) 253-2000

Other practice location 1

18100 Oakwood Blvd
Suite 100
Dearborn, MI 48124-4071
Phone (313) 253-2000

Other identifiers 2

IdentifierTypeStateIssuer
4823320-10MedicaidMI
7050340OtherMIAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050623000545 MI Practitioner - Anesthesiology 9335184985 Reassigns benefits to 6 organizations
I20260424002719 IN Practitioner - Anesthesiology 9335184985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

5450 Fort St
Trenton, MI 48183-4601
Phone (214) 687-0001

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 263-2400

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301061318MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straith Hospital for Special Surgery Current Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Anesthesiology CurrentSince Aug 15, 2024 Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Apr 30, 2024 Accepting new patients
Ambulatory Anesthesia Associates, PC Anesthesiology CurrentSince Jan 1, 2006 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Jun 1, 2025 Accepting new patients
Straith Hospital for Special Surgery Anesthesiology CurrentSince Dec 1, 2016 Accepting new patients
Straith Hospital for Special Surgery CurrentSince Dec 1, 2016 Accepting new patients
Huron Gastroenterology Associates PC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Promedica Central Corporation of Michigan Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Straith Hospital for Special Surgery Past Accepting new patients
A4 of Ohio, LLC Anesthesiology Past Accepting new patients
Novi Anesthesia Services PLC Anesthesiology Past Accepting new patients

Locations

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

5452 Fort St
Ste 100
Trenton, MI 48183
Phone (734) 479-7060

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lisa.henderson.1@11987.direct.athenahealth.com

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1952348070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244071",
            "telephone_number": "313-253-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD STE 5A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750",
            "telephone_number": "734-263-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18100 Oakwood Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244071",
            "country_code": "US",
            "telephone_number": "313-253-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301061318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823320-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7050340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.