Individual provider Active NPI

Joseph Welles Henderson IV, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Richmond Heights, OH
National Provider Identifier
1528200904
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
35-124412 Issued in OH
Practice address
27100 Chardon Road
Suite 100
Richmond Heights, OH 44143
Phone
(440) 516-8700
Fax
(216) 201-5276
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35124412 OH
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 35-124412 OH Primary

Addresses

Primary practice location

27100 Chardon Road
Suite 100
Richmond Heights, OH 44143

Mailing address

27100 Chardon Rd Ste 100
Richmond Heights, OH 44143-1192
Phone (440) 516-8700

Other practice location 1

1525 W 2100 S
Salt Lake City, UT 84119-1401
Phone (801) 213-3900

Other practice location 2

88 Center Rd Ste 360
Bedford, OH 44146-2711
Phone (440) 232-8955

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address josephhenderson@uhps.allscriptsdirect.net
Direct Messaging Address josephhenderson@uhps.allscriptsdirect.net
Direct Messaging Address josephhenderson@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140911000404 OH Practitioner - Obstetrics/GynecologyPractitioner - Urology 9133362486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Urology
Education
Jefferson Medical College of Thomas Jefferson University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

27100 Chardon Rd
Richmond Heights, OH 44143-1116

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 383-0100

7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-124412OHMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Sep 1, 2017 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University of Utah Hospitals and Clinics Obstetrics & Gynecology CurrentSince Jul 13, 2013 Accepting new patients
The Metrohealth System Obstetrics & Gynecology CurrentSince Aug 15, 2014 Accepting new patients
University Primary Care Practices Inc Obstetrics & Gynecology CurrentSince Sep 1, 2017 Accepting new patients
The Metrohealth System CurrentSince Aug 15, 2014 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

88 Center Rd
Ste 360
Bedford, OH 44146
Phone (440) 232-8955

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

27100 Chardon Rd
Ste 100
Richmond Heights, OH 44143
Phone (440) 347-9929

7495 S State St
Midvale, UT 84047
Phone (801) 213-9400

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

Interoperability endpoints

  • Direct secure messaging: jhenderson37357@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 8

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1528200904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 CHARDON RD STE 100",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431192",
            "telephone_number": "440-516-8700",
            "fax_number": "216-201-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CHARDON ROAD",
            "address_2": "SUITE 100",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-516-8700",
            "fax_number": "216-201-5276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 W 2100 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841191401",
            "country_code": "US",
            "telephone_number": "801-213-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Center Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "OH",
            "postal_code": "441462711",
            "country_code": "US",
            "telephone_number": "440-232-8955",
            "fax_number": "440-232-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JOSEPH",
        "middle_name": "WELLES",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2021-01-12",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35124412",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OH",
            "license": "35-124412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephhenderson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "88 Center Rd Ste 360",
            "city": "Bedford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441462711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephhenderson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "27100 Chardon Road",
            "address_2": "Suite 100",
            "city": "Richmond Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephhenderson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "27100 Chardon Road",
            "address_2": "Suite 100",
            "city": "Richmond Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

Verify at the official NPI Registry.