Gerrit V Henry, D,IO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

12356 Issued in CA

Practice address

9460 N Name Uno Ste 210
Gilroy, CA 95020-3532

Phone

(408) 847-0888

Fax

(408) 847-1257

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Dermatology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.34 of 100Reported as group

Quality

90.85

Promoting interoperability

87

Improvement activities

40

Cost

71.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ghenry@csinorthca.emadirect.md
• Direct secure messaging: gerrithenry@ad.allscriptsdirect.net

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.

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Dermatology

  Medicare reassignment Care Compare group NPD
• Arizona Associates in Dermatology and Cosmetic Surgery, LLC

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1659467397
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1194781294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 N 68TH ST",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532703",
            "telephone_number": "480-329-6966",
            "fax_number": "408-904-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 210",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203532",
            "telephone_number": "408-847-0888",
            "fax_number": "408-847-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "GERRIT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D,IO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "12356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Marie Heflin
• Ruth Hegedus
• Heidy Ayala
• Kerstin June Helgason, PMHNP
• Christopher Moses Henriquez
• Charleen Marie Heredia
• Stephanie Hernandez Alvarez
• Lizbeth Hernandez Barba
• Katherine Hernandez Escobar
• Wilfrido Hernandez Flores

• Dermatology Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.