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HENRY FORD SEMI MEDICAL GROUP
NPI 1174537500
Family Medicine in Warren, MI

Active since July 28, 2006
11900 E 12 MILE RD STE 210, WARREN, MI 48093(586) 582-7100(586) 582-7101 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Nov 15, 2023, Mar 22, 2018 (3 updates tracked since 2018).

About Henry Ford Semi Medical Group NPPES

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

HENRY FORD SEMI MEDICAL GROUP (NPI 1174537500) is a healthcare organization registered as a family medicine in Warren, Michigan and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Warren and lists Kimberly Cebalt, Director Of Provider Affairs, as its authorized official.

NPPES Registry Identity

NPI1174537500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHENRY FORD SEMI MEDICAL GROUP
Location Address11900 E 12 MILE RD STE 210Warren, MI 48093-3490
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 999-5829
Phone(586) 582-7100
Fax(586) 582-7101
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector Of Provider Affairs · (313) 874-6764
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1174537500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedSurgeryTaxonomy 208600000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
11900 E 12 MILE RD STE 210, Warren, MI 48093
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Other Names 1

Doing Business AsHenry Ford Semi Medical Group

Secondary Practice Location 1

Location 111900 E 12 Mile Rd Ste 301Warren, MI 48093-3400 · Phone (586) 573-5600

Other Identifiers 1

Other700E012740MI · Bcbsm Group #

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Semi Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20031113000362Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

101

Medicare enrollment records show 101 clinicians reassign Medicare billing to Henry Ford Semi Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Obstetrics/Gynecology22
Internal Medicine16
Neurology12
General Surgery10
Family Practice9
Nurse Practitioner8
Cardiovascular Disease (Cardiology)4
Orthopedic Surgery4
11 other specialties16

Nearest to this location (20)

See all 101
Sarah Griffith, D.O.
Obstetrics/Gynecology
NPI 1528388444
11900 E 12 MILE RD STE. 312
Warren, MI 48093
(586) 582-7060
✔ PECOS✔ Accepts MedicareSame address
James Martin, MD
Thoracic Surgery
NPI 1972592541
11900 E 12 MILE RD SUITE 205
Warren, MI 48093
(586) 576-4907
✔ PECOS✔ Accepts MedicareSame address
Paige Paladino, D.O.
Obstetrics/Gynecology
NPI 1255651170
11900 E 12 MILE RD STE. 312
Warren, MI 48093
(586) 582-7060
✔ PECOS✔ Accepts MedicareSame address
Derek Grayson, M.D.
Neurology
NPI 1932652351
11800 E 12 MILE RD STE 205
Warren, MI 48093
(586) 582-7033
✔ PECOS✔ Accepts Medicare0.1 mi
Alisha Johnson, N.P.
Nurse Practitioner
NPI 1184153801
11800 E 12 MILE RD
Warren, MI 48093
(586) 573-5000
✔ PECOS0.1 mi
Rosalie Patero
Nurse Practitioner
NPI 1407384167
11800 E 12 MILE RD
Warren, MI 48093
(586) 573-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Lisa Gilbertahee, DO
Obstetrics/Gynecology
NPI 1295705168
30117 SCHOENHERR RD SUITE 400
Warren, MI 48088
(586) 552-4848
✔ PECOS✔ Accepts Medicare1.1 mi
Jennifer Nowasielski, D.O.
Obstetrics/Gynecology
NPI 1790991909
30117 SCHOENHERR RD STE 400
Warren, MI 48088
(586) 558-4848
✔ PECOS✔ Accepts Medicare1.1 mi
Merna Jarbo, D.O.
Family Practice
NPI 1841726833
27472 SCHOENHERR RD
Warren, MI 48088
(586) 751-8844
✔ PECOS✔ Accepts Medicare1.2 mi
Charles Skardarasy, M.D.
Internal Medicine
NPI 1386618882
33464 SCHOENHERR RD SUITE 160
Sterling Heights, MI 48312
(586) 258-3775
✔ PECOS✔ Accepts Medicare2.6 mi
Katherine Paquette, ACNP
Nurse Practitioner
NPI 1932250206
17000 E. 10 MILE RD
Eastpointe, MI 48021
(586) 563-5555
✔ PECOS✔ Accepts Medicare3.5 mi
Antonious Attallah, M.D.
Interventional Cardiology
NPI 1306081138
25195 KELLY ROAD SUITE A
Roseville, MI 48066
(586) 775-4594
✔ PECOS✔ Accepts Medicare4.2 mi
Vamshidhar Guduguntla, MD
Interventional Cardiology
NPI 1174525729
25195 KELLY RD SUITE A
Roseville, MI 48066
(586) 775-4594
✔ PECOS✔ Accepts Medicare4.2 mi
Kishan Jasti, M.D.
Cardiovascular Disease (Cardiology)
NPI 1346248135
25195 KELLY ROAD SUITE A
Roseville, MI 48066
(586) 775-4594
✔ PECOS✔ Accepts Medicare4.2 mi
Hani Kador, M.D.
Cardiovascular Disease (Cardiology)
NPI 1235360835
25195 KELLY RD SUITE A
Roseville, MI 48066
(586) 775-4594
✔ PECOS✔ Accepts Medicare4.2 mi
Salem Sayar, MD
Cardiac Electrophysiology
NPI 1346326238
25195 KELLY RD STE B
Roseville, MI 48066
(586) 779-2579
✔ PECOS✔ Accepts Medicare4.2 mi
Nicholas Sousa, D.O.
General Surgery
NPI 1134533912
27483 DEQUINDRE RD STE 301
Madison Heights, MI 48071
(248) 546-2600
✔ PECOS✔ Accepts Medicare4.3 mi
Kevin Morton, D.O.
General Surgery
NPI 1356793269
27483 DEQUINDRE RD STE 301
Madison Heights, MI 48071
(248) 546-2600
✔ PECOS✔ Accepts Medicare4.3 mi
Philip Ross, D.O.
Neurology
NPI 1689086373
27351 DEQUINDRE RD
Madison Heights, MI 48071
(248) 967-7795
✔ PECOS✔ Accepts Medicare4.3 mi
Leigh Solomon, MD
Gynecological Oncology
NPI 1508061813
4100 JOHN R ST KARMANOS CANCER CENTER
Detroit, MI 48201
(800) 527-6266
✔ PECOS✔ Accepts Medicare4.6 mi
See all 101 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 Semi Medical Group's NPI number?

The NPI number for Henry Ford Semi Medical Group is 1174537500. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Henry Ford Semi Medical Group located?

Henry Ford Semi Medical Group is located at 11900 E 12 Mile Rd Ste 210, Warren, MI 48093. The listed phone number is (586) 582-7100.

What is Henry Ford Semi Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Henry Ford Semi Medical Group enrolled in Medicare?

Yes. Henry Ford Semi Medical Group is registered in the Medicare PECOS enrollment system.

When is Henry Ford Semi Medical Group'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 October 31, 2026. 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 Semi Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 19 Medicare specialties reassign their Medicare billing to Henry Ford Semi Medical Group. 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 Obstetrics/Gynecology (22), Internal Medicine (16) and Neurology (12). Of these, 3 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Henry Ford Semi Medical Group 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 Semi Medical Group 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 Semi Medical Group was last updated on April 28, 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.