Individual provider Active NPI

Elizabeth H Henry, MD

  • Ophthalmology Physician
  • Grand Rapids, MI
National Provider Identifier
1598727935
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301070226 Issued in MI
Practice address
791 Kenmoor Ave SE
Suite a
Grand Rapids, MI 49546-8625
Phone
(616) 575-8200
Fax
(616) 954-9622
NPI assigned
Apr 3, 2006
Last updated
Sep 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301070226 MI Primary

Addresses

Primary practice location

791 Kenmoor Ave SE
Suite a
Grand Rapids, MI 49546-8625

Mailing address

791 Kenmoor Ave SE
Suite a
Grand Rapids, MI 49546-8625
Phone (616) 575-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051110000031 MI Practitioner - Ophthalmology 3274551031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Ophthalmology, PCGroup PAC ID 3072610112, 3 clinicians

Practice addresses (Care Compare)

791 Kenmoor Ave SE
Suite a
Grand Rapids, MI 49546-8625
Phone (616) 575-8200

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery158
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Ophthalmology PC Ophthalmology CurrentSince Feb 1, 2007 Accepting new patients
Cascade Ophthalmology PC Ophthalmology CurrentSince Sep 1, 2001 Accepting new patients
Vision Eye Care Ophthalmology Past Accepting new patients

Locations

791 Kenmoor Ave SE
Ste A
Grand Rapids, MI 49546
Phone (616) 575-8200

Interoperability endpoints

  • Direct secure messaging: ehh@cascadeeyes.direct.eyemdemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1598727935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 KENMOOR AVE SE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468625",
            "telephone_number": "616-575-8200",
            "fax_number": "616-954-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 KENMOOR AVE SE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468625",
            "telephone_number": "616-575-8200",
            "fax_number": "616-954-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301070226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.