Individual provider Active NPI

Dermond Cortez Henry, D.O.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1508205543
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015026154 Issued in MO
Practice address
12345 W Bend Dr Ste 300
Saint Louis, MO 63128-2255
Phone
(314) 849-6000
Fax
(314) 849-1417
NPI assigned
Jun 24, 2013
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015026154 MO Primary

Addresses

Primary practice location

12345 W Bend Dr Ste 300
Saint Louis, MO 63128-2255

Mailing address

PO Box 419052
Saint Louis, MO 63141-9052
Phone (314) 851-1000

Other practice location 1

416 Old Smizer Mill Rd
Fenton, MO 63026-3553
Phone (314) 849-6000

Other practice location 2

2325 Dougherty Ferry Rd Ste 202
Saint Louis, MO 63122-3356
Phone (314) 238-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160706002301 MO Practitioner - Family Practice 5698071470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians
American Multispecialty Group IncGroup PAC ID 1658365572, 118 clinicians

Practice addresses (Care Compare)

10700 Manchester Rd
Suite E
Kirkwood, MO 63122-1307
Phone (314) 428-9541

1551 Wall St
Suite 400
Saint Charles, MO 63303-3541
Phone (636) 669-7006

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015026154MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince May 1, 2021 Accepting new patients
American Multispecialty Group Inc. Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Esse Health Heal at Home LLC Family Medicine PastSince Nov 21, 2023 Accepting new patients
English and McLaughlin, P.C. Family Medicine Past Accepting new patients

Locations

714 Gravois Rd
Ste 100
Fenton, MO 63026
Phone (636) 326-6100

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

1475 Kisker Rd
Ste 230
Saint Charles, MO 63304
Phone (636) 939-5000

1551 Wall St
Ste 400
Saint Charles, MO 63303
Phone (636) 462-6106

12345 W Bend Dr
Ste 300
Saint Louis, MO 63128
Phone (314) 849-6000

10700 Manchester Rd
Ste E
Saint Louis, MO 63122
Phone (314) 428-9541

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

2325 Dougherty Ferry Rd
Ste 202
Saint Louis, MO 63122
Phone (314) 238-2246

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Interoperability endpoints

  • Direct secure messaging: dermond.henry.p1@direct.essehealth.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1508205543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419052",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419052",
            "telephone_number": "314-851-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 W BEND DR STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282255",
            "telephone_number": "314-849-6000",
            "fax_number": "314-849-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Old Smizer Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630263553",
            "country_code": "US",
            "telephone_number": "314-849-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2325 Dougherty Ferry Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631223356",
            "country_code": "US",
            "telephone_number": "314-238-2246",
            "fax_number": "314-275-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DERMOND",
        "middle_name": "CORTEZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015026154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.