Active NPI
Khafra Sade Garcia Henry, MBBS
- Surgical Critical Care Physician
- Chicago, IL
National Provider Identifier
1124478797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 036.160332
- Practice address
- 5841 S Maryland Ave # Mc4062
Chicago, IL 60637-1443 - Phone
- (773) 702-7418
- Fax
- (773) 702-1192
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10056082 | TX | |
| Surgical Critical Care Physician | 2086S0102X | 036.160332 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave # Mc4062
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Phone (773) 702-1150
Other practice location 1
6410 Fannin St Ste 1400
Houston, TX 77030-5389
Phone (832) 325-7125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 SE Magnolia Extension
Unit 1
Ocala, FL 34471-3770
Phone (352) 629-7979
Hospital & facility affiliations
- Marion Communtiy Hospital
- Villages Regional Hospital, the
- HCA Florida Citrus Hospital
- Uf Health Leesburg Hospital
- HCA Florida Putnam Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Health Trauma, LLC | Current | Accepting new patients | |
| Ocala Health Surgical Group LLC | Current | Accepting new patients |
Locations
1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471
Phone (352) 401-1218
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- khafra.garciahenry@hca5.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Trauma Surgery Physician
- Ocala, FL
- NPI 1093063869
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ocala, FL
- NPI 1659540524
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
-
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1124478797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HARVESTER DR STE 300",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275965",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE # MC4062",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-702-7418",
"fax_number": "773-702-1192"
}
],
"practiceLocations": [
{
"address_1": "6410 Fannin St Ste 1400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770305389",
"country_code": "US",
"telephone_number": "832-325-7125",
"fax_number": "713-512-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA HENRY",
"first_name": "KHAFRA",
"middle_name": "SADE",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10056082",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036.160332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.