Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Bousamra II, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1669411781

Michael Bousamra II, MD is a Thoracic Surgery in Grosse Pointe Woods, Michigan. Graduated from University of Michigan Medical School in 1985, 41 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana, Kentucky and Michigan.

Years since qualifying
41
Trained at
University of Michigan Medical School
Licensed in
IN, KY, MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

19229 Mack Ave Ste 23
Grosse Pointe Woods, MI 48236-2857
Phone: (248) 849-2600
Fax: (248) 849-2610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2125 State St, New Albany, IN 47150-4988 — (812) 949-5575

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 4301503387 (MI)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 01066681A (IN)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 35096 (KY)

Record details

NPI number1669411781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Also practisesCARDIAC SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1985 (41 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare