Individual provider Active NPI

Kevin D Henrichsen, MD

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1316326648
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD474816 Issued in PA
Practice address
9501 Roosevelt Blvd FL 4
Philadelphia, PA 19114-1019
Phone
(800) 321-9999
Fax
(267) 479-1321
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA11200400 NJ
Orthopaedic Surgery Physician 207X00000X 01083578A IN
Orthopaedic Surgery Physician 207X00000X MD474816 PA Primary

Addresses

Primary practice location

9501 Roosevelt Blvd FL 4
Philadelphia, PA 19114-1019

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (267) 606-4478

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kevin.henrichsen@rothmanortho.com
Direct Messaging Address kevinhenrichsen@oi.allscriptsdirect.net Orthopaedics-Indianapolis, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20210715002635 PA Practitioner - Orthopedic Surgery 7517245400 Reassigns benefits to 2 organizations
I20210803000540 NJ Practitioner - Orthopedic Surgery 7517245400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11200400NJMDOrthopaedic Surgery Physician
MD474816PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 1, 2026 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 1, 2026 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Sep 1, 2021 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

9501 Roosevelt Blvd
Fl 4
Philadelphia, PA 19114
Phone (215) 992-4975

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 7

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1316326648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "267-606-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BLVD FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141019",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICHSEN",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA11200400",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01083578A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD474816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin.henrichsen@rothmanortho.com",
            "affiliation": "N",
            "endpointDescription": "Provider Business Email",
            "address_1": "9501 Roosevelt Blvd Fl 4",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191141019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevinhenrichsen@oi.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Allscripts e-mail",
            "affiliationName": "Orthopaedics-Indianapolis, Inc.",
            "address_1": "8402 Harcourt Rd Ste 125",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.