Individual provider Active NPI

Patrick Edward Henderson, DO

  • Otolaryngology Physician
  • Victoria, TX
National Provider Identifier
1598720492
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
W1287 Issued in TX
Practice address
605 E San Antonio St Ste 508E
Victoria, TX 77901-6020
Phone
(361) 485-0051
Fax
(361) 579-8685
NPI assigned
Apr 20, 2006
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X W1287 TX Primary

Addresses

Primary practice location

605 E San Antonio St Ste 508E
Victoria, TX 77901-6020

Mailing address

605 E San Antonio St Ste 508E
Victoria, TX 77901-6020
Phone (361) 485-0051

Other identifiers 1

IdentifierTypeStateIssuer
W1287OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190506000295 TX Practitioner - Otolaryngology 9537200357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio University, College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

506 E San Antonio St
Victoria, TX 77901-6060
Phone (361) 575-7441

601 E San Antonio
Suite 401W
Victoria, TX 77901-6008
Phone (361) 485-1885

605 E San Antonio St
Suite 508E Detar Internal Medicine Center
Victoria, TX 77901-6020
Phone (361) 485-0051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.67 of 100Reported as group
Quality
95
Promoting interoperability
0
Improvement activities
40
Cost
73.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W1287TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 13, 2025 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 13, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Apr 11, 2019 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
Columbus Community Hospital Inc Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Enticare PC PastSince Feb 18, 2024 Accepting new patients
Enticare PC PastSince Feb 18, 2024 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

605 E San Antonio St
Ste 508
Victoria, TX 77901

605 E San Antonio St
Ste 508E
Victoria, TX 77901
Phone (361) 485-0051

Interoperability endpoints

  • Direct secure messaging: patrick.henderson.1@1902.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1598720492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 508E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016020",
            "telephone_number": "361-485-0051",
            "fax_number": "361-579-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 508E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016020",
            "telephone_number": "361-485-0051",
            "fax_number": "361-579-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "W1287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "W1287",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.