HENRY FORD HEALTH PROVIDENCE HOSPITAL
NPI 1871554626
Internal Medicine - Cardiovascular Disease in Southfield, MI

Active since March 31, 2006
16001 W 9 MILE RD, PH CARDIOLOGY, SOUTHFIELD, MI 48075(248) 849-3000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Mar 26, 2026, Nov 15, 2023 and 2 more (5 updates tracked since 2016).

About Henry Ford Health Providence Hospital NPPES

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

HENRY FORD HEALTH PROVIDENCE HOSPITAL (NPI 1871554626), doing business as Henry Ford Providence Hospital, is a healthcare organization registered as a cardiovascular disease in Southfield, Michigan and active in the NPI registry since March 2006. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1871554626
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHENRY FORD HEALTH PROVIDENCE HOSPITAL
Location Address16001 W 9 MILE RD, PH CARDIOLOGYSouthfield, MI 48075-4818
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 999-5829 · Fax (248) 641-4840
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 16, 20265 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1871554626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
16001 W 9 MILE RD, Southfield, MI 48075

Other Names 2

Doing Business AsHenry Ford Providence Hospital
Other NamePh Cardiology/providence Hosptial And Medical Centers Inc

Other Identifiers 1

Other060F360210MI · Mi Bcbsm Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Health Providence Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20031103000326Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

391

Medicare enrollment records show 391 clinicians reassign Medicare billing to Henry Ford Health Providence Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 121 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner76
Internal Medicine62
Cardiovascular Disease (Cardiology)44
Obstetrics/Gynecology41
Family Practice33
Pediatric Medicine26
Orthopedic Surgery19
Anesthesiology16
18 other specialties74

Nearest to this location (20)

See all 391
Nurse Practitioner
NPI 1568466498
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-8807
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1891371662
16001 W 9 MILE RD
Southfield, MI 48075
(248) 594-9501
✔ PECOSSame address
Family Practice
NPI 1427292945
23985 NOVI RD STE B102
Novi, MI 48375
(248) 983-1130
✔ PECOS✔ Accepts Medicare1.8 mi
Obstetrics/Gynecology
NPI 1912589961
25500 MEADOWBROOK RD STE 120
Novi, MI 48375
(248) 465-4340
✔ PECOS✔ Accepts Medicare2.1 mi
Obstetrics/Gynecology
NPI 1518966951
25500 MEADOWBROOK RD STE 120
Novi, MI 48375
(248) 465-4340
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1699745513
37650 PROFESSIONAL CENTER DR 1010A
Livonia, MI 48154
(732) 432-7070
✔ PECOS✔ Accepts Medicare3.2 mi
Cardiovascular Disease (Cardiology)
NPI 1982676433
37799 PROFESSIONAL CENTER DR SUITE 105
Livonia, MI 48154
(734) 464-3251
✔ PECOS✔ Accepts Medicare3.3 mi
Cardiovascular Disease (Cardiology)
NPI 1164495313
37799 PROFESSIONAL CENTER DR SUITE 105
Livonia, MI 48154
(734) 464-3251
✔ PECOS✔ Accepts Medicare3.3 mi
Internal Medicine
NPI 1023098597
44000 WEST TWELVE MILE ROAD SUITE 200
Novi, MI 48377
(248) 347-8191
✔ PECOS✔ Accepts Medicare3.6 mi
Internal Medicine
NPI 1700866274
44000 W 12 MILE RD STE 200
Novi, MI 48377
(248) 347-8191
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1790337210
47601 GRAND RIVER AVE
Novi, MI 48374
(248) 849-3448
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1336784594
47601 GRAND RIVER AVE
Novi, MI 48374
(248) 465-4311
✔ PECOS✔ Accepts Medicare4.1 mi
General Surgery
NPI 1043565443
47601 GRAND RIVER AVE # B136
Novi, MI 48374
(248) 465-3940
✔ PECOS✔ Accepts Medicare4.1 mi
Pulmonary Disease
NPI 1306846431
47601 GRAND RIVER AVE 2ND FLOOR
Novi, MI 48374
(248) 465-4290
✔ PECOS✔ Accepts Medicare4.1 mi
Anesthesiology
NPI 1679151856
47601 GRAND RIVER AVE
Novi, MI 48374
(248) 465-4100
✔ PECOS✔ Accepts Medicare4.4 mi
Pediatric Medicine
NPI 1760482871
47601 GRAND RIVER AVE B233
Novi, MI 48374
(248) 465-4809
✔ PECOS4.5 mi
Pediatric Medicine
NPI 1710509393
26850 PROVIDENCE PKWY STE 455
Novi, MI 48374
(248) 465-4847
✔ PECOS4.6 mi
Orthopedic Surgery
NPI 1841851821
26850 PROVIDENCE PKWY STE 260
Novi, MI 48374
(248) 465-5140
✔ PECOS✔ Accepts Medicare4.6 mi
Sports Medicine
NPI 1265727556
26850 PROVIDENCE PKWY STE 260
Novi, MI 48374
(248) 465-5140
✔ PECOS✔ Accepts Medicare4.6 mi
Endocrinology
NPI 1063423317
23800 ORCHARD LAKE RD SUITE 206
Farmington Hills, MI 48336
(248) 471-3300
✔ PECOS✔ Accepts Medicare4.7 mi
See all 391 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 Providence Hospital's NPI number?

The NPI number for Henry Ford Health Providence Hospital is 1871554626. It was assigned to this organization in the NPPES registry on March 31, 2006. The provider is doing business as Henry Ford Providence Hospital. The provider is also known as PH Cardiology/Providence Hosptial and Medical Centers Inc.

Where is Henry Ford Health Providence Hospital located?

Henry Ford Health Providence Hospital is located at 16001 W 9 Mile Rd Ph Cardiology, Southfield, MI 48075. The listed phone number is (248) 849-3000.

What is Henry Ford Health Providence Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Henry Ford Health Providence Hospital enrolled in Medicare?

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

When is Henry Ford Health Providence Hospital'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 January 31, 2027. 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 Health Providence Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 391 clinicians in 26 Medicare specialties reassign their Medicare billing to Henry Ford Health Providence 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 (76), Internal Medicine (62) and Cardiovascular Disease (Cardiology) (44). Of these, 2 practice at this address and 121 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Henry Ford Health Providence 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 Providence 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 Providence Hospital was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.