Andrew J Henry, DO
Individual provider Active NPI Family Medicine Physician · Columbia City, IN
NPI 1174052948 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1174052948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11019330A (IN)
- Practice address
- 1270 E State Road 205 Ste 240
Columbia City, IN 46725-8506 - Phone
- (260) 248-9230
- Fax
- (260) 248-9249
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Health System Inc
Practice addresses (Care Compare)
1270 E State Rd
120 PPG Orthopedics
Columbia City, IN 46725-8505
Phone (260) 248-9960
Hospital & facility affiliations
- Adoration Home Health
- Home Health Care Solutions LLC
- Parkview Whitley Hospital
- Parkview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181101000404 | IN | Practitioner - Family Practice | 8224307400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Family Medicine | Current |
Accepting new patients |
| Northeast Obstetrics & Gynecology, LLC | Past |
Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
1314 E 7th St
Ste 101
Auburn, IN 46706
Phone (260) 920-2794
1316 E 7th St
Ste 4
Auburn, IN 46706
Phone (260) 920-2000
1314 E 7th St
Ste 201
Auburn, IN 46706
Phone (260) 927-0400
1270 E State Road 205
Ste 240
Columbia City, IN 46725
Phone (260) 248-9230
1270 E State Road 205
Ste 120
Columbia City, IN 46725
Phone (260) 248-9960
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
Interoperability endpoints
- ahenry117354@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11019330A | IN | Yes |
Addresses
Primary practice location
1270 E State Road 205 Ste 240
Columbia City, IN 46725-8506
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | ahenry117354@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Other providers in Columbia City, IN
- Dawn M Harvey
- Carrie L Hauck
- Lyndsay Hayes
- Madison Heinen
- Landon Hendrix
- Abbey Herendeen
- David Lee Hestand III
- Rebecca Ann Hill
- Joseph Hoffman
- Renae Hoffman
All providers in Columbia City, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2022. 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.