HENRY FORD HEALTH PROVIDENCE HOSPITAL
NPI 1003871062
Pediatrics - Neonatal-Perinatal Medicine in Southfield, MI
About Henry Ford Health Providence Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRY FORD HEALTH PROVIDENCE HOSPITAL (NPI 1003871062) is a healthcare organization registered as a neonatal-perinatal medicine in Southfield, Michigan and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Kimberly Cebalt, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Henry Ford Health Providence Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
391Medicare enrollment records show 391 clinicians reassign Medicare billing to Henry Ford Health Providence Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 121 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 391Livonia, MI 48154
Livonia, MI 48154
Farmington Hills, MI 48336
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 23D0035969
Henry Ford Health Providence Hospital · Southfield, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Henry Ford Health Providence Hospital's NPI number?
The NPI number for Henry Ford Health Providence Hospital is 1003871062. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is also known as PH Neonatology/Providence Hosptial and Medical Centers Inc.
Where is Henry Ford Health Providence Hospital located?
Henry Ford Health Providence Hospital is located at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3000.
What is Henry Ford Health Providence Hospital's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Henry Ford Health Providence Hospital enrolled in Medicare?
Yes. Henry Ford Health Providence Hospital is registered in the Medicare PECOS enrollment system.
When is Henry Ford Health Providence Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Henry Ford Health Providence Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 391 clinicians in 26 Medicare specialties reassign their Medicare billing to Henry Ford Health Providence Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (76), Internal Medicine (62) and Cardiovascular Disease (Cardiology) (44). Of these, 2 practice at this address and 121 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Henry Ford Health Providence Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 23D0035969) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Henry Ford Health Providence Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Henry Ford Health Providence Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Henry Ford Health Providence Hospital was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Henry Ford Health Providence Hospital · NPI 1003871062
Neonatal-Perinatal Medicine organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1003871062 (Entity type: Organization)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **Also known as:** PH Neonatology/Providence Hosptial and Medical Centers Inc (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kimberly Cebalt, DIRECTOR
## Practice location
- **Address:** 16001 W 9 MILE RD, Southfield, MI 48075-4818
- **Phone:** (248) 849-3000 · **Fax:** (248) 849-2244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 391 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (76), Internal Medicine (62), Cardiovascular Disease (Cardiology) (44); 2 practice at this address and 121 within 10 miles; [full list](https://npiprofile.com/npi/1003871062/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2026
- **Other identifiers:** Other 350F360230 (MI)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1003871062) · Data from the CMS NPPES public registry.