HENRY FORD HEALTH ST. JOHN HOSPITAL
NPI 1376820605
Otolaryngology in Saint Clair Shores, MI
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 1376820605), doing business as Henry Ford St. John Hospital, is a healthcare organization registered as an otolaryngology in Saint Clair Shores, Michigan and active in the NPI registry since November 2011. The organization lists Kimberly Cebalt, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 2
Group Practice 1
Accepted Insurance
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
516Medicare 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, 21 practice at this address and 307 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 39
Nearest to this location (20)
See all 516Saint 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 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 48081
Saint Clair Shores, MI 48081
Saint Clair Shores, MI 48081
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 1376820605. It was assigned to this organization in the NPPES registry on November 15, 2011. The provider is doing business as Henry Ford St. John Hospital and Lakeshore ENT Center.
Where is Henry Ford Health St. John Hospital located?
Henry Ford Health St. John Hospital is located at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.
What is Henry Ford Health St. John Hospital's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
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, 21 practice at this address and 307 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Henry Ford Health St. John 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 St. John 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 St. John Hospital was last updated on May 19, 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 St. John Hospital · NPI 1376820605
Otolaryngology organization in Saint Clair Shores, Michigan. Organization record, active in the CMS NPPES registry since November 15, 2011.
## Identity
- **NPI:** 1376820605 (Entity type: Organization)
- **Enumerated:** November 15, 2011
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Also known as:** Henry Ford St. John Hospital (Doing Business As); Lakeshore ENT Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Cebalt, DIRECTOR
## Practice location
- **Address:** 21000 E 12 MILE RD STE 111, Saint Clair Shores, MI 48081-1156
- **Phone:** (586) 779-7610 · **Fax:** (586) 779-0031
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 516 clinicians in 39 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (67), Obstetrics/Gynecology (64), Internal Medicine (57); 21 practice at this address and 307 within 10 miles; [full list](https://npiprofile.com/npi/1376820605/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376820605) · Data from the CMS NPPES public registry.