Henry Ford Medical Group Genesys

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HENRY FORD MEDICAL GROUP GENESYS

Practice address

1096 S Belsay Rd Ste C
Burton, MI 48509-1948

Phone

(810) 743-3351

Fax

(810) 244-1239

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Cebalt

Title

Manager

Phone

(313) 874-6764

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Mount Morris, MI
  • NPI 1003398470

  O20181002000367

  Same enrollment
• Henry Ford Medical Group Genesys

  • Physical Therapist
  • Burton, MI
  • NPI 1114495793

  O20181002000367

  Same enrollment
• Henry Ford Medical Group Genesys

  • Diagnostic Radiology Physician
  • Burton, MI
  • NPI 1205304888

  O20181002000367

  Same enrollment
• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Burton, MI
  • NPI 1598248718

  O20181002000367

  Same enrollment

Tax ID family

Ascension Genesys Ambulatory Imaging4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Henry Ford Medical Group Genesys

  • Physical Therapist
  • Burton, MI
  • NPI 1114495793
  NPD tax ID
• Henry Ford Medical Group Genesys

  • Diagnostic Radiology Physician
  • Burton, MI
  • NPI 1205304888
  NPD tax ID
• Henry Ford Medical Group Genesys

  • Internal Medicine Physician
  • Burton, MI
  • NPI 1215410436
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Hinman

  • Family Medicine Physician
  • Linden, MI
  • NPI 1285080838
  NPD
• Murugusundaram Veeramani, MD

  • Diagnostic Radiology Physician
  • Flint, MI
  • NPI 1063438752
  NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1982170312",
    "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": "1096 S BELSAY RD STE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091948",
            "telephone_number": "810-743-3351",
            "fax_number": "810-244-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD MEDICAL GROUP GENESYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "CEBALT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "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
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Health Genesys Hospital
• Henry Ford Medical Group Genesys
• Henry Ford Medical Group Genesys
• Henry Ford Medical Group Genesys
• Henry Ford Medical Group Genesys
• Katie Mae Henry
• Shakeisha Herbert
• Laura Ann Herrington
• Micah Hester
• Courtney Marie Hettel

• Family Medicine Physician in Burton, MI
• Providers in Burton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.