HENRY FORD ALLEGIANCE HEALTH
NPI 1942740311
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jackson, MI

Q: What is W A Foote Memorial Hospital Inc's NPI number?

The NPI number for W A Foote Memorial Hospital Inc is 1942740311. It was assigned to this organization in the NPPES registry on March 3, 2017. The provider is doing business as Henry Ford Allegiance Health.

Q: What is W A Foote Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since March 03, 2017

205 N EAST AVE, JACKSON, MI 49201(517) 841-7843(517) 841-7419 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2024, Mar 6, 2024, Mar 3, 2017 (3 updates tracked since 2017).

On this page

About Henry Ford Allegiance Health NPPES

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

HENRY FORD ALLEGIANCE HEALTH (NPI 1942740311) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Jackson, Michigan and active in the NPI registry since March 2017. The organization lists Jody Roberts, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1942740311

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameW A FOOTE MEMORIAL HOSPITAL INC

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267-0002 · (517) 205-7843 · Fax (517) 841-7419

Phone(517) 841-7843

Fax(517) 841-7419

Organization SubpartYesParent: Henry Ford Allegiance Health Group

Authorized OfficialJody RobertsEnrollment Specialist · (248) 641-6041

Enumeration DateMarch 3, 2017

Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1942740311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MI · 1060000044

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

205 N EAST AVE, Jackson, MI 49201

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Other Names 1

Doing Business AsHenry Ford Allegiance Health

Other Identifiers 1

Medicaid1760437826MI

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Allegiance Health 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 Henry Ford Allegiance Health, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 129 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

Ashraf Abou El Ela, MD

Thoracic Surgery

NPI 1609149632

205 N EAST AVE
Jackson, MI 49201

(517) 205-4862

✔ PECOSSame address

Sameer Ahmed, M.D

Internal Medicine

NPI 1972725083

205 N EAST AVE
Jackson, MI 49201

(517) 205-4946

✔ PECOS✔ Accepts MedicareSame address

Raad Al Shaikhli, M.D

Hospitalist

NPI 1326433483

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Kelly Cannon, NP

Nurse Practitioner

NPI 1992160451

205 N EAST AVE
Jackson, MI 49201

(517) 788-4730

✔ PECOS✔ Accepts MedicareSame address

William Cederquist, MD

Anesthesiology

NPI 1295961241

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOSSame address

Lesley Combs, D.O.

Critical Care (Intensivists)

NPI 1285844191

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Mark Double, D.O.

Anesthesiology

NPI 1669403903

205 N EAST AVE
Jackson, MI 49201

(517) 788-4963

✔ PECOS✔ Accepts MedicareSame address

Mohamed El Fakiy, MD

Family Practice

NPI 1073139788

205 N EAST AVE
Jackson, MI 49201

(816) 394-6643

✔ PECOS✔ Accepts MedicareSame address

Soumaya Ezwawi, M.D.

Internal Medicine

NPI 1881045847

205 N EAST AVE
Jackson, MI 49201

(517) 205-1328

✔ PECOS✔ Accepts MedicareSame address

Andrew Girgis, DO

Family Practice

NPI 1194253807

205 N EAST AVE
Jackson, MI 49201

(517) 205-3998

✔ PECOS✔ Accepts MedicareSame address

Colleen Howing, MD

Hospice/Palliative Care

NPI 1467073197

205 N EAST AVE FL 5
Jackson, MI 49201

(517) 205-7289

✔ PECOSSame address

Mary Jarzebowski, M.D.

Anesthesiology

NPI 1770847196

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Frederic Joyce, MD

Thoracic Surgery

NPI 1316994304

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Courtland Keteyian, MD

Preventive Medicine

NPI 1821382235

205 N. EAST AVENUE
Jackson, MI 49201

(517) 205-5995

✔ PECOSSame address

Hamsa Khalil, MD

Internal Medicine

NPI 1427409788

205 N EAST AVE
Jackson, MI 49201

(517) 788-4800

✔ PECOS✔ Accepts MedicareSame address

Brian Knipp, M.D.

Vascular Surgery

NPI 1386763332

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOS✔ Accepts MedicareSame address

Rangarao Panguluri, MD

Gastroenterology

NPI 1619952405

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOS✔ Accepts MedicareSame address

Yaw Sarpong, MD

Neurosurgery

NPI 1073779435

205 N EAST AVE
Jackson, MI 49201

(517) 205-1591

✔ PECOS✔ Accepts MedicareSame address

Jonathan Schweid, M.D.

General Surgery

NPI 1891991931

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Nikhath Zeeshan, MD

Infectious Disease

NPI 1639458813

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

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 W A Foote Memorial Hospital Inc's NPI number?

The NPI number for W A Foote Memorial Hospital Inc is 1942740311. It was assigned to this organization in the NPPES registry on March 3, 2017. The provider is doing business as Henry Ford Allegiance Health.

Where is W A Foote Memorial Hospital Inc located?

W A Foote Memorial Hospital Inc is located at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 841-7843.

What is W A Foote Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is W A Foote Memorial Hospital Inc enrolled in Medicare?

Yes. W A Foote Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W A Foote Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 472 clinicians in 44 Medicare specialties reassign their Medicare billing to W A Foote Memorial Hospital Inc. 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, 29 practice at this address and 129 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does W A Foote Memorial Hospital Inc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list W A Foote Memorial Hospital Inc 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 W A Foote Memorial Hospital Inc was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.