Active NPI
Robert Ellis Henson II, MD
- Cardiovascular Disease Physician
- Littleton, CO
National Provider Identifier
1104822121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 30651
- Practice address
- 5961 Rain Dance TRL
Littleton, CO 80125-9095 - Phone
- (720) 255-4134
- Fax
- (720) 784-6183
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD60700596 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | 30651 | CO | Primary |
Addresses
Primary practice location
5961 Rain Dance TRL
Littleton, CO 80125-9095
Mailing address
5961 Rain Dance TRL
Littleton, CO 80125-9095
Phone (720) 255-4134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104822121 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3065 | CO | MD | Mental Health Counselor |
| 30651 | CO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Heart Associates, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Cardiovascular Associates PC | Cardiovascular Disease | Past | Accepting new patients |
| Denver NMR, Inc | Past | Accepting new patients |
Interoperability endpoints
- rhenson751387@wm.providencedirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Denver, CO
- NPI 1538184775
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Denver, CO
- NPI 1699747857
-
- Cardiovascular Disease Physician
- Wheat Ridge, CO
- NPI 1386602068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1104822121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5961 RAIN DANCE TRL",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801259095",
"telephone_number": "720-255-4134",
"fax_number": "720-784-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5961 RAIN DANCE TRL",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801259095",
"telephone_number": "720-255-4134",
"fax_number": "720-784-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "ROBERT",
"middle_name": "ELLIS",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD60700596",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "30651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104822121",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.