Individual provider Active NPI

Rodney D Henderson, M.D.

  • Orthopaedic Surgery Physician
  • Yuma, AZ
National Provider Identifier
1225035488
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
105849 Issued in MO
Practice address
2851 S Avenue B
Ste 2403
Yuma, AZ 85364-7759
Phone
(928) 726-2990
Fax
(928) 726-0786
NPI assigned
Jul 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 105849 MO Primary

Addresses

Primary practice location

2851 S Avenue B
Ste 2403
Yuma, AZ 85364-7759

Mailing address

9187 Clairemont Mesa Blvd
# 6733
San Diego, CA 92123-1257
Phone (928) 726-2990

Other identifiers 3

IdentifierTypeStateIssuer
44983OtherAZSTATE LICENSE
105849OtherMOSTATE LICENSE
A67635OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040219000706 CA Practitioner - Orthopedic Surgery 6002701877 Practice locations: Coronado, CA; La Jolla, CA; San Diego, CA
I20110916000121 AZ Practitioner - Orthopedic Surgery 6002701877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodney D. Henderson, M.D.Group PAC ID 4486825759, 2 clinicians

Practice addresses (Care Compare)

2851 S Ave B
Suite 2403
Yuma, AZ 85364-7759
Phone (928) 726-2990

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score
72.18 of 100Reported as individual
Quality
29.36
Promoting interoperability
76
Improvement activities
40
Cost
97.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement56
Knee replacement72
Lower limb (leg) arthroscopy (minimally invasive joint repair)23
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rodney D. Henderson, M.D. Orthopaedic Surgery CurrentSince Aug 17, 2011 Accepting new patients
Facesplus Inc PastSince Aug 1, 2015 Accepting new patients
U S Healthworks Medical Group Past Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2851 S Avenue B
Ste 2403
Yuma, AZ 85364
Phone (928) 726-2990

2281 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 276-4293

9187 Clairemont Mesa Blvd
#6733
San Diego, CA 92123

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1225035488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9187 CLAIREMONT MESA BLVD",
            "address_2": "# 6733",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231257",
            "telephone_number": "928-726-2990",
            "fax_number": "928-726-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B",
            "address_2": "STE 2403",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647759",
            "telephone_number": "928-726-2990",
            "fax_number": "928-726-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RODNEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "105849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44983",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "105849",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A67635",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.