Henry Ford Allegiance Health – Internal Medicine Physician, NPI 1831123728
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Henry Ford Allegiance Health
PO BOX 67000
DEPARTMENT 272801
DETROIT, MI 482672728
Phone: (517) 841-7482
Fax: (517) 841-7476
Type: Mailing
205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States
JACKSON, MI 492011753
Phone: (517) 788-4800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-12
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48267)
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