Individual provider Active NPI

Fraser Cummins Henderson Jr., M.D.

  • Neurological Surgery Physician
  • Silver Spring, MD
National Provider Identifier
1598104259
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0091659 Issued in MD
Practice address
1010 Wayne Ave Ste 420
Silver Spring, MD 20910-5655
Phone
(301) 557-9049
NPI assigned
Jun 17, 2013
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0091659 MD Primary

Addresses

Primary practice location

1010 Wayne Ave Ste 420
Silver Spring, MD 20910-5655

Mailing address

1010 Wayne Ave Ste 420
Silver Spring, MD 20910-5655
Phone (301) 557-9049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240320000212 DC Practitioner - Neurosurgery 5597088229 Reassigns benefits to 1 organization
I20251103001347 MD Practitioner - Neurosurgery 5597088229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Brain and Spine LLCGroup PAC ID 3173796000, 4 clinicians

Practice addresses (Care Compare)

1300 Spring St
Suite 210
Silver Spring, MD 20910-3654
Phone (301) 585-7900

2635 Riva Rd
Suite 118
Annapolis, MD 21401-7430
Phone (301) 585-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion94
Laminectomy or laminotomy (partial removal of spine bones)33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091659MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metropolitan Neurosurgery Group LLC CurrentSince Jan 22, 2023 Accepting new patients
Montgomery Brain and Spine LLC Neurological Surgery CurrentSince Apr 1, 2024 Accepting new patients

Locations

170 Jennifer Rd
Ste 240
Annapolis, MD 21401
Phone (410) 571-9000

2635 Riva Rd
Ste 118
Annapolis, MD 21401
Phone (410) 571-9000

1010 Wayne Ave
Ste 420
Silver Spring, MD 20910
Phone (301) 557-9049

1300 Spring St
Ste 210
Silver Spring, MD 20910

9333 Healthcare Way
Ste A3A100
Upper Marlboro, MD 20774

Interoperability endpoints

  • Direct secure messaging: fhenderson857059@direct.umm.edu

Organizations & group practices 2

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 5

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1598104259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE STE 420",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105655",
            "telephone_number": "301-557-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE STE 420",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105655",
            "telephone_number": "301-557-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "FRASER",
        "middle_name": "CUMMINS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0091659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.