Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WA FOOTE MEMORIAL HOSPITAL
NPI 1700355195
Internal Medicine - Obesity Medicine in Jackson, MI

Q: What is Wa Foote Memorial Hospital's NPI number?

The NPI number for Wa Foote Memorial Hospital is 1700355195. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as Henry Ford Allegiance Health.

Q: What is Wa Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Active since November 15, 2018

205 N EAST AVE, JACKSON, MI 49201(517) 205-3867(517) 803-2133 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 6, 2024, Nov 15, 2018 (2 updates tracked since 2018).

On this page

About Wa Foote Memorial Hospital NPPES

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

WA FOOTE MEMORIAL HOSPITAL (NPI 1700355195), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as an obesity medicine in Jackson, Michigan and active in the NPI registry since November 2018. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1700355195

Entity TypeOrganization

Primary Taxonomy207RB0002X

Legal Business NameWA FOOTE MEMORIAL HOSPITAL

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressPo Box 670884Detroit, MI 48267-2728 · (800) 999-5829 · Fax (248) 641-4840

Phone(517) 205-3867

Fax(517) 803-2133

Organization SubpartYesParent: W.a. Foote Memorial Hospital

Authorized OfficialKimberly CebaltDirector · (313) 874-6764

Enumeration DateNovember 15, 2018

Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1700355195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RB0002X

Definition

An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X

Also ListedPsychiatry & Neurology · Obesity MedicineTaxonomy 2084B0002X

Also ListedSurgeryTaxonomy 208600000X

205 N EAST AVE, Jackson, MI 49201

Open in Google Maps ↗

Other Names 1

Doing Business AsHenry Ford Allegiance Health

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wa Foote Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

472

Medicare enrollment records show 472 clinicians reassign Medicare billing to Wa Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Internal Medicine70

Anesthesiology60

Family Practice50

Gastroenterology29

Pathology29

Radiation Oncology20

Otolaryngology19

General Surgery16

36 other specialties179

Nearest to this location (20)

See all 472

Mohammad Anees, MBBS

Gastroenterology

NPI 1124137104

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Nadine Ballout, MD

Anesthesiology

NPI 1003485525

205 N EAST AVE
Jackson, MI 49201

(517) 205-4730

✔ PECOS✔ Accepts MedicareSame address

Sairia Dass, MBBS MRCP DPHIL

Internal Medicine

NPI 1831537265

205 N EAST AVE HENRY FORD ALLEGIANCE
Jackson, MI 49201

(517) 841-1328

✔ PECOS✔ Accepts MedicareSame address

Michael Gellis, M.D.

Plastic and Reconstructive Surgery

NPI 1508997032

205 N EAST AVE
Jackson, MI 49201

(313) 874-4806

✔ PECOSSame address

Kazem Osman, DO

Hospitalist

NPI 1518495225

205 N EAST AVE
Jackson, MI 49201

(517) 205-3998

✔ PECOS✔ Accepts MedicareSame address

Abdul Kader Tabbara, M.D.

Anesthesiology

NPI 1528329547

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOS✔ Accepts MedicareSame address

Abdullah Al-Arfaj, MD

Neurosurgery

NPI 1780384875

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Breanna Lauinger

Anesthesiology

NPI 1336757913

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOS✔ Accepts MedicareSame address

Amilyn Taplin, M.D.

Neurosurgery

NPI 1295027472

205 N EAST AVE
Jackson, MI 49201

(517) 205-1591

✔ PECOS✔ Accepts MedicareSame address

Lynne Mccormick, DO

Urology

NPI 1194779983

150 S EAST AVE
Jackson, MI 49201

(517) 205-2146

✔ PECOS✔ Accepts Medicare0.1 mi

Katherine Cox, DO

Family Practice

NPI 1942520424

12369 E MICHIGAN AVE
Grass Lake, MI 49240

(517) 205-2525

✔ PECOS✔ Accepts Medicare0.8 mi

Lauren Sibeck, MD

Family Practice

NPI 1265995013

12369 E MICHIGAN AVE
Grass Lake, MI 49240

(517) 205-4800

✔ PECOS✔ Accepts Medicare0.8 mi

Hussein Othman, M.D

Cardiovascular Disease (Cardiology)

NPI 1306089040

205 PAGE AVE STE B
Jackson, MI 49201

(517) 787-3577

✔ PECOS✔ Accepts Medicare5.8 mi

Matthew Jonovich, MD

Interventional Cardiology

NPI 1548378540

309 PAGE AVE
Jackson, MI 49201

(517) 787-1233

✔ PECOS✔ Accepts Medicare5.9 mi

Randy Bell, M.D.

Internal Medicine

NPI 1952573602

1401 W NORTH ST ALLEGIANCE NORTH STREET
Jackson, MI 49202

(517) 205-2555

✔ PECOS✔ Accepts Medicare6.3 mi

Chidamber Alamelumangapuram, MD

Hospitalist

NPI 1992956122

201 NORTH EAST AVE HOSPITALIST OFFICE
Jackson, MI 49201

(517) 205-1328

✔ PECOS✔ Accepts Medicare6.4 mi

Rene Cardenas, MD

Family Practice

NPI 1023682085

1401 W NORTH ST
Jackson, MI 49202

(517) 782-2555

✔ PECOS✔ Accepts Medicare6.4 mi

Sana Chams

Geriatric Medicine

NPI 1730531146

1401 W NORTH ST.
Jackson, MI 49202

(517) 205-2555

✔ PECOS✔ Accepts Medicare6.4 mi

Howard Larky, DO

Anesthesiology

NPI 1013906023

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOS6.4 mi

Hamead Moshrefi

Rheumatology

NPI 1891173696

4304 PAGE AVE STE 200
Michigan Center, MI 49254

(517) 202-7224

✔ PECOS✔ Accepts Medicare7.2 mi

See all 472 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 Wa Foote Memorial Hospital's NPI number?

The NPI number for Wa Foote Memorial Hospital is 1700355195. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as Henry Ford Allegiance Health.

Where is Wa Foote Memorial Hospital located?

Wa Foote Memorial Hospital is located at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-3867.

What is Wa Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Is Wa Foote Memorial Hospital enrolled in Medicare?

Yes. Wa Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wa Foote Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 472 clinicians in 44 Medicare specialties reassign their Medicare billing to Wa Foote Memorial 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 Internal Medicine (70), Anesthesiology (60) and Family Practice (50). Of these, 9 practice at this address and 58 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 Wa Foote Memorial Hospital was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.