David Henry
Individual provider Active NPI Physician Assistant · Cicero, IN
NPI 1003215047 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1003215047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10001704A (IN)
- Practice address
- 1160 S Peru St
Cicero, IN 46034-9601 - Phone
- (317) 984-9311
- Fax
- (317) 984-9302
- NPI assigned
- Aug 15, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverview Hospital
Practice addresses (Care Compare)
1160 S Peru St
Cicero Family Care
Cicero, IN 46034-9601
Phone (317) 984-9311
395 Westerfield Rd
Noblesville, IN 46060-1425
395 Westfield Dr
Noblesville, IN 46060-1425
395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157
395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440
395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520
395 Westfield Rd RM
Noblesville, IN 46060-1425
587 A Westfield Rd
Riverview Health Care Coordination Services
Noblesville, IN 46060-1321
Phone (317) 770-3773
Hospital & facility affiliations
- Suburban Home Health LLC
- Riverview Health
- Indiana University Health Tipton Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140911002077 | IN | Practitioner - Physician Assistant | 7618196353 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Hospital | Current |
Accepting new patients |
Locations
865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
Interoperability endpoints
- dhenry791531@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001704A | IN | Yes |
Addresses
Primary practice location
1160 S Peru St
Cicero, IN 46034-9601
Mailing address
PO Box 843022
Kansas City, MO 64184-3022
Phone (317) 770-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241888770 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhenry791531@DirectC.mercy.net | Direct |
Other providers in Cicero, IN
- Melissa J Harding
- Charles R Harris
- Douglas Michael Hartley
- Richard F Helminiak II
- Jennifer Heniser
- Hook-Superx LLC
- Hoosier Dentures & Dental Surgery, LLC
- Ann Story Hughes
- Patricia Indelicato
- Myrna I Janer
All providers in Cicero, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.