Individual provider Active NPI

Edith Ifeoma Henderson, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1235394032
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4576 Issued in TX
Practice address
11800 Astoria
Houston, TX 77089-6041
Phone
(281) 929-6100
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1349 WI
Hospitalist Physician 208M00000X R4576 TX
Hospitalist Physician 208M00000X 1349 WI
Hospitalist Physician 208M00000X IMLC.MD.61415657 WA
Internal Medicine Physician 207R00000X ME174170 FL
Hospitalist Physician 208M00000X 036156961 IL
Internal Medicine Physician 207R00000X P4576 TX Primary

Addresses

Primary practice location

11800 Astoria
Houston, TX 77089-6041

Mailing address

6620 Main St
Houston, TX 77030-2348
Phone (713) 798-2500

Other practice location 1

2100 NW 35th Avenue Rd
Ocala, FL 34475-4630
Phone (352) 280-7400

Other practice location 2

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Other identifiers 1

IdentifierTypeStateIssuer
VAD000OtherTNFEDERAL UPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, NM, AZ, WI, OK, MN, FL, ID, GA, WA11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20111017000555 TX Practitioner - HospitalistPractitioner - Internal Medicine 4486826443 Reassigns benefits to 5 organizations
I20210525001402 IL Practitioner - Internal MedicinePractitioner - Hospitalist 4486826443 Reassigns benefits to 2 organizations
I20231129003972 NM Practitioner - Internal Medicine 4486826443 Reassigns benefits to 1 organization
I20240711001755 AZ Practitioner - Internal Medicine 4486826443 Reassigns benefits to 2 organizations
I20241009004089 WI Practitioner - Internal Medicine 4486826443
I20241018001914 OK Practitioner - HospitalistPractitioner - Internal Medicine 4486826443 Reassigns benefits to 2 organizations
I20251022000120 MN Practitioner - Internal Medicine 4486826443 Reassigns benefits to 1 organization
I20251104004198 FL Practitioner - Internal Medicine 4486826443 Reassigns benefits to 1 organization
I20251229003398 ID Practitioner - Internal Medicine 4486826443 Reassigns benefits to 2 organizations
I20260116000513 GA Practitioner - Hospitalist 4486826443 Reassigns benefits to 2 organizations
I20260626003097 WA Practitioner - Hospitalist 4486826443

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America-Illinois Hospitalists, LLPGroup PAC ID 3274765904, 193 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-5361

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2187

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
  • Saint James Hospital Hospital, Pontiac, IL, CCN 140161
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Gibson Community Hospital Hospital, Gibson City, IL, CCN 141317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME174170FLMDInternal Medicine Physician
R4576TXMDHospitalist Physician
1349WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Oct 8, 2024 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 20, 2025 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince May 25, 2024 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Feb 22, 2023 Accepting new patients
Metro Physicians LLC Hospitalist CurrentSince Jul 29, 2025 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince May 25, 2024 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Oct 20, 2025 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Jul 20, 2025 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Oct 23, 2025 Accepting new patients
Thedacare, Incorporated Family Medicine CurrentSince Aug 17, 2025 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Sep 6, 2025 Accepting new patients
Las Cruces HB Medical Services LLC Hospitalist CurrentSince Nov 13, 2023 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 29, 2011 Accepting new patients
Walter Knox Memorial Hospital Family Medicine CurrentSince Sep 6, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince Dec 25, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2016 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Oct 8, 2024 Accepting new patients
Warren Clinic Inc CurrentSince Mar 16, 2025 Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients
Leading Edge Emergency Physicians, Inc Past Accepting new patients

Locations (25 of 36)

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 NW 35th Avenue Rd
Ocala, FL 34475
Phone (352) 280-7400

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ehenderson2721498@fairview.direct-ci.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1235394032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302348",
            "telephone_number": "713-798-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ASTORIA",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896041",
            "telephone_number": "281-929-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 NW 35th Avenue Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344754630",
            "country_code": "US",
            "telephone_number": "352-280-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "fax_number": "920-735-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EDITH",
        "middle_name": "IFEOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "1349",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R4576",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "1349",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "IMLC.MD.61415657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME174170",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036156961",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL UPIN",
            "identifier": "VAD000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.