HENRY FORD SEMI MEDICAL GROUP
NPI 1366515496
Obstetrics & Gynecology in Saint Clair Shores, MI
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 1366515496) is a healthcare organization registered as an obstetrics & gynecology in Saint Clair Shores, Michigan and active in the NPI registry since November 2006. The organization lists Kimberly Cebalt, Director Of Provider Affairs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
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 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.
Clinicians Billing Medicare Through This Organization
101Medicare enrollment records show 101 clinicians reassign Medicare billing to Henry Ford Semi Medical Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 101Saint Clair Shores, MI 48081
Saint Clair Shores, MI 48081
Saint Clair Shores, MI 48081
Saint Clair Shores, MI 48081
Saint Clair Shores, MI 48081
Saint Clair Shores, MI 48080
Saint Clair Shores, MI 48080
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 1366515496. It was assigned to this organization in the NPPES registry on November 16, 2006.
Where is Henry Ford Semi Medical Group located?
Henry Ford Semi Medical Group is located at 21000 E 12 Mile Rd Suite 102, Saint Clair Shores, MI 48081. The listed phone number is (586) 447-5100.
What is Henry Ford Semi Medical Group's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
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, 5 practice at this address and 53 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.
# Henry Ford Semi Medical Group · NPI 1366515496
Obstetrics & Gynecology organization in Saint Clair Shores, Michigan. Organization record, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1366515496 (Entity type: Organization)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Also known as:** HENRY FORD SEMI MEDICAL GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Cebalt, DIRECTOR OF PROVIDER AFFAIRS
## Practice location
- **Address:** 21000 E 12 MILE RD, SUITE 102, Saint Clair Shores, MI 48081-1116
- **Phone:** (586) 447-5100 · **Fax:** (586) 447-5090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 101 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (22), Internal Medicine (16), Neurology (12); 5 practice at this address and 53 within 10 miles; [full list](https://npiprofile.com/npi/1366515496/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2026
- **Other identifiers:** Other CG4683 (MI); Other 0E01168 (MI); Other 0M92780 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1366515496) · Data from the CMS NPPES public registry.