Active NPI
Lisa L Henderson, M.D.
- Anesthesiology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301061318
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4823320-10 | Medicaid | MI | |
| 7050340 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
- Promedica Monroe Regional Hospital
- St Joe Mercy Hospital System Livonia
- Corewell Health Trenton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301061318 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| Anesthesia Associates of Ann Arbor, PLLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Current | Accepting new patients | |
| Ambulatory Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Current | Accepting new patients | |
| Straith Hospital for Special Surgery | Anesthesiology | Current | Accepting new patients |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Anesthesiology | Current | Accepting new patients |
| Promedica Central Corporation of Michigan | Anesthesiology | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
Anesthesiology, MI
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
-
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
-
- Behavior Analyst
- Southfield, MI
- NPI 1467296277
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1881743417
-
- Anesthesiology Physician
- Novi, MI
- NPI 1487830345
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.