HENRY FORD HEALTH ST. JOHN HOSPITAL
NPI 1043478910
Podiatrist in Harrison Township, MI

Active since May 28, 2008
26755 BALLARD ST, HARRISON TOWNSHIP, MI 48045(584) 655-5501 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2026, Dec 12, 2018 (2 updates tracked since 2018).

About Henry Ford Health St. John Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY FORD HEALTH ST. JOHN HOSPITAL (NPI 1043478910), doing business as St John North Shores Hospital, is a healthcare organization registered as a podiatrist in Harrison Township, Michigan and active in the NPI registry since May 2008. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1043478910
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameHENRY FORD HEALTH ST. JOHN HOSPITAL
Location Address26755 BALLARD STHarrison Township, MI 48045-2419
Mailing Address28000 Dequindre RdWarren, MI 48092-2468 · (586) 753-0275
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateMay 28, 2008
Last NPPES UpdateApril 12, 20262 updates tracked since enumeration
NPPES CertifiedApril 12, 2026
✔ NPI 1043478910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
26755 BALLARD ST, Harrison Township, MI 48045

Other Names 1

Doing Business AsSt John North Shores Hospital

Other Identifiers 1

Other0E0110Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry Ford Health St. John Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

516

Medicare enrollment records show 516 clinicians reassign Medicare billing to Henry Ford Health St. John Hospital, which bills Medicare for the services they deliver. Of these, 171 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner67
Obstetrics/Gynecology64
Internal Medicine57
Pediatric Medicine50
Family Practice35
Cardiovascular Disease (Cardiology)28
General Surgery25
Qualified Audiologist23
31 other specialties167

Nearest to this location (20)

See all 516
Nurse Practitioner
NPI 1780343277
25990 CROCKER BLVD
Harrison Township, MI 48045
(586) 466-5466
✔ PECOS✔ Accepts Medicare0.3 mi
Neurology
NPI 1780627018
34025 HARPER
Clinton Township, MI 48043
(586) 445-9900
✔ PECOS✔ Accepts Medicare2.0 mi
General Surgery
NPI 1972797058
1000 HARRINGTON ST
Mount Clemens, MI 48043
(586) 493-8195
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1366011041
1000 HARRINGTON ST
Mount Clemens, MI 48043
(586) 493-8000
✔ PECOS2.8 mi
Family Practice
NPI 1376926865
21099 MASONIC BLVD
Saint Clair Shores, MI 48082
(586) 296-6213
✔ PECOS✔ Accepts Medicare3.6 mi
Family Practice
NPI 1841470481
21099 MASONIC BLVD
Saint Clair Shores, MI 48082
(586) 296-6213
✔ PECOS✔ Accepts Medicare3.6 mi
Family Practice
NPI 1306895065
21099 MASONIC BLVD
Saint Clair Shores, MI 48082
(586) 296-6213
✔ PECOS✔ Accepts Medicare3.6 mi
Osteopathic Manipulative Medicine
NPI 1780671461
30695 LITTLE MACK AVE STE 500
Roseville, MI 48066
(313) 401-0256
✔ PECOS✔ Accepts Medicare4.4 mi
Obstetrics/Gynecology
NPI 1689674897
29751 LITTLE MACK AVE SUITE B
Roseville, MI 48066
(586) 415-6200
✔ PECOS✔ Accepts Medicare4.6 mi
Obstetrics/Gynecology
NPI 1972503183
29751 LITTLE MACK AVE SUITE B
Roseville, MI 48066
(586) 415-6200
✔ PECOS✔ Accepts Medicare4.6 mi
Obstetrics/Gynecology
NPI 1962067926
29751 LITTLE MACK AVE STE B
Roseville, MI 48066
(586) 415-6200
✔ PECOS✔ Accepts Medicare4.6 mi
Otolaryngology
NPI 1881786341
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS4.9 mi
Qualified Audiologist
NPI 1689762395
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ Accepts Medicare4.9 mi
Otolaryngology
NPI 1669868402
21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS✔ Accepts Medicare4.9 mi
Qualified Audiologist
NPI 1881269074
21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1801331210
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS✔ Accepts Medicare4.9 mi
Internal Medicine
NPI 1720404775
21000 E 12 MILE RD
Saint Clair Shores, MI 48081
(313) 598-0799
✔ PECOS✔ Accepts Medicare4.9 mi
Pulmonary Disease
NPI 1013328335
21000 E 12 MILE RD STE 112
Saint Clair Shores, MI 48081
(586) 772-5550
✔ PECOS✔ Accepts Medicare4.9 mi
Pulmonary Disease
NPI 1225297559
21000 E 12 MILE RD STE 112
Saint Clair Shores, MI 48081
(586) 772-5550
✔ PECOS✔ Accepts Medicare4.9 mi
General Surgery
NPI 1336342278
29000 LITTLE MACK AVE STE B
Saint Clair Shores, MI 48081
(586) 774-8811
✔ PECOS✔ Accepts Medicare5.0 mi
See all 516 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 St. John Hospital's NPI number?

The NPI number for Henry Ford Health St. John Hospital is 1043478910. It was assigned to this organization in the NPPES registry on May 28, 2008. The provider is doing business as St John North Shores Hospital.

Where is Henry Ford Health St. John Hospital located?

Henry Ford Health St. John Hospital is located at 26755 Ballard St, Harrison Township, MI 48045. The listed phone number is (584) 655-5501.

What is Henry Ford Health St. John Hospital's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Henry Ford Health St. John Hospital enrolled in Medicare?

Yes. Henry Ford Health St. John Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Henry Ford Health St. John Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 516 clinicians in 39 Medicare specialties reassign their Medicare billing to Henry Ford Health St. John 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 (67), Obstetrics/Gynecology (64) and Internal Medicine (57). Of these, 171 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Henry Ford Health St. John Hospital was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.