Individual provider Active NPI

Ralph S Henry, MD

  • Nephrology Physician
  • Anderson, SC
National Provider Identifier
1356346332
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10418 Issued in SC
Practice address
779 Senate Pkwy
Anderson, SC 29621-1820
Phone
(864) 224-8716
Fax
(864) 226-2287
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 10418 SC Primary

Addresses

Primary practice location

779 Senate Pkwy
Anderson, SC 29621-1820

Mailing address

779 Senate Pkwy
Anderson, SC 29621-1820
Phone (864) 224-8716

Other identifiers 2

IdentifierTypeStateIssuer
104185MedicaidSC
00385734AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20110208000380 SC Practitioner - Nephrology 4981653524 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10418SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Nov 16, 1996 Accepting new patients
Anmed Health CurrentSince Nov 16, 1996 Accepting new patients
Nephrology & Internal Medicine of Anderson PA Nephrology CurrentSince May 11, 1996 Accepting new patients
Bio-Medical Applications of South Carolina, Inc. PastSince May 24, 2010 Accepting new patients

Locations

779 Senate Pkwy
Anderson, SC 29621
Phone (864) 224-8716

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1356346332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 SENATE PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-224-8716",
            "fax_number": "864-226-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 SENATE PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-224-8716",
            "fax_number": "864-226-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "RALPH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "10418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104185",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00385734A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.