NPIMap

Individual provider Active NPI

Kerry Lee Hensley, MD

  • Pediatrics Physician
  • Avon, IN
National Provider Identifier
1174610562
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01044494 Issued in IN
Practice address
7376 Business Center Dr
Suite a
Avon, IN 46123-8662
Phone
(317) 272-7887
Fax
(317) 272-7888
NPI assigned
Oct 6, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01044494 IN Primary

Addresses

Primary practice location

7376 Business Center Dr
Suite a
Avon, IN 46123-8662

Mailing address

7376 Business Center Dr
Suite a
Avon, IN 46123-8662
Phone (317) 272-7887

Other identifiers 2

IdentifierTypeStateIssuer
200140570CMedicaidIN
200140570BMedicaidIN

Other names 1

  • Kerry Lee Rohrer Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01044494INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avon Pediatrics PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: khensley@direct.iuhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1174610562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 BUSINESS CENTER DR",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238662",
            "telephone_number": "317-272-7887",
            "fax_number": "317-272-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 BUSINESS CENTER DR",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238662",
            "telephone_number": "317-272-7887",
            "fax_number": "317-272-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "KERRY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01044494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200140570C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200140570B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "ROHRER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.