HENRY FORD SEMI MEDICAL GROUP – NPI #1174537500
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

HENRY FORD SEMI MEDICAL GROUP is a provider located in WARREN, MI. NPPES has assigned the NPI number 1174537500 to HENRY FORD SEMI MEDICAL GROUP on July 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HENRY FORD SEMI MEDICAL GROUP below.

NPI Profile for
HENRY FORD SEMI MEDICAL GROUP

NPI Number
1174537500
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HENRY FORD SEMI MEDICAL GROUP
Primary location
11900 E 12 MILE RD STE 210
WARREN, MI 48093-3490
Phone: (586) 582-7100 Fax: (586) 582-7101
1 Other location(s):
11900 E 12 Mile Rd Ste 301
Warren, MI 48093-3400
Phone: (586) 573-5600
Mailing address
PO BOX 670884
DETROIT, MI 48267-0884
Phone: (800) 999-5829 Fax:
Organization Subpart
No
Authorized Official
KIMBERLY CEBALT
DIRECTOR OF PROVIDER AFFAIRS
Phone: (313) 874-6764
Updated
Certification Date
Apr 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HENRY FORD SEMI MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSM GROUP #MI700E012740
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.