Individual provider Active NPI

Rick A Henderson, M.D.

  • Cardiovascular Disease Physician
  • Anderson, SC
National Provider Identifier
1487667523
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2005-00371 Issued in NC
Practice address
100 Healthy Way
Suite 1120
Anderson, SC 29621-7915
Phone
(864) 512-4530
Fax
(864) 512-4540
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2005-00371 NC Primary

Addresses

Primary practice location

100 Healthy Way
Suite 1120
Anderson, SC 29621-7915

Mailing address

100 Healthy Way
Suite 1120
Anderson, SC 29621-7915
Phone (864) 512-4530

Other identifiers 2

IdentifierTypeStateIssuer
5913253MedicaidNC
376220MedicaidSC

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
I20150226001689 SC Practitioner - Cardiovascular Disease (Cardiology) 5890790034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Brody School of Medicine at East Carolina University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 654-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37622SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Dec 18, 2014 Accepting new patients
Anmed Health CurrentSince Dec 18, 2014 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Jan 31, 2015 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Anmed Health Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Anmed Health Past Accepting new patients
The Heart Group of Lancaster General Health Cardiovascular Disease Past Accepting new patients
Anmed Health Past Accepting new patients

Locations

100 Healthy Way
Ste 1120
Anderson, SC 29621
Phone (864) 512-4530

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

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

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

Interoperability endpoints

  • Direct secure messaging: rhenderson10761@direct.anmedhealth.net

Organizations & group practices 9

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 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1487667523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1120",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-512-4530",
            "fax_number": "864-512-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1120",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-512-4530",
            "fax_number": "864-512-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RICK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2005-00371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913253",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376220",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.