Henria M Fain, M.D., DPT, ATC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME133303 Issued in FL

Practice address

800 W. Martin Luther King Jr. Blvd
Suite 4
Tampa, FL 33603

Phone

(813) 743-4383

Fax

(888) 713-4253

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Henria M Davis Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95

Improvement activities

40

Cost

75.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hfain292269@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Hmfmd PLLC Doctor Doctor Primary Care Services

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1194507921
  Medicare reassignment NPD Authorized official
• Doctor Doctor on-Call

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1265248579
  NPD Authorized official
• Jawan Ayer MD, LLC

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1962622134
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Act Health Solutions LLC

  • Adult Health Nurse Practitioner
  • Lithia, FL
  • NPI 1801369418
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1487836680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75496",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336750496",
            "telephone_number": "813-743-4383",
            "fax_number": "888-713-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W. MARTIN LUTHER KING JR. BLVD",
            "address_2": "SUITE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-743-4383",
            "fax_number": "888-713-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "HENRIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19365",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME133303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRIA",
            "last_name": "DAVIS",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Fahrenholz
• Mary Elizabeth Fahsel
• Renee R. Faiks
• Aaron Fail
• Carl Failla, RPH
• Fair Health Care LLC
• Rodneisha Fair
• Taylor Fair, MSN, APRN, FNP-C
• Garrett Fairbairn
• Christina Lynne Dalke Fairbanks, PH.D., M.S.

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.