Ian J Henderson, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

T1383 Issued in TX

Practice address

2821 E President George Bush Hwy Ste 407
Richardson, TX 75082-4279

Phone

(972) 680-0668

Fax

(972) 680-2499

NPI assigned

Jun 6, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pulmonary Medicine Consultants, PAGroup PAC ID 3678544707, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
• Coralvita Richardson Hospital, Richardson, TX, CCN 670348

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pulmonary Medicine Consultants, PA

  • Pulmonary Disease Physician
  • Richardson, TX
  • NPI 1407845456
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coralvita Richardson, LLC

  • Long Term Care Hospital
  • Irving, TX
  • NPI 1710867775
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1144633124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 407",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824279",
            "telephone_number": "972-680-0668",
            "fax_number": "972-680-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 407",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824279",
            "telephone_number": "972-680-0668",
            "fax_number": "972-680-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "IAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "T1383",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "T1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Hebert, MS, CCC-SLP
• Hebron Home Health and Hospice, LLC
• Kianna Lee Helmin
• Allison H Henderson, M.D.
• Alyssa Michelle Henderson, M.A., LPC
• Jalynn Henderson
• Jill P Henderson, LPC
• Maegan Danielle Henderson, FNP
• Melissa Henderson, LPC
• Patrick Bouvier Henderson

• Pulmonary Disease Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.

Verify at the official NPI Registry.