Anjali S. Henry, M.D.
Individual provider Active NPI Pediatrics Physician · Clear Lake, IA
NPI 1326204686 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1326204686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 40490 (IA)
- Practice address
- 401 S 15TH St
Clear Lake, IA 50428-2303 - Phone
- (641) 357-7442
- Fax
- (641) 357-3070
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130110000598 | IA | Practitioner - Pediatric Medicine | 0143473686 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40490 | IA | MD | Pediatrics Physician |
| 125.053067 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| North Iowa Mercy Clinics | Past | Accepting new patients |
Locations
401 S 15th St
Clear Lake, IA 50428
Phone (641) 357-3393
418 N Shore Dr
Clear Lake, IA 50428
Phone (641) 357-5050
3201 1st St
Emmetsburg, IA 50536
Phone (712) 852-5500
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
Interoperability endpoints
- ahenry3946772@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.053067 | IL | |
| Pediatrics Physician | 208000000X | 40490 | IA | Yes |
Addresses
Primary practice location
401 S 15TH St
Clear Lake, IA 50428-2303
Mailing address
401 S 15TH St
Clear Lake, IA 50428-2303
Phone (641) 357-7442
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahenry3946772@direct.trinity-health.org | Direct |
Other providers in Clear Lake, IA
- Handicap Village
- Hasco Inc.
- Hasco Incorporated
- Wade Hebrink
- Libby Hennessy
- Duane A Hermen
- Hilary Reynolds DDS PC
- Joshua D Hildebrand
- Jennifer J Hinschberger
- Todd Darwin Hocraffer
All providers in Clear Lake, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.