Active NPI
Elizabeth H Henry, MD
- Ophthalmology Physician
- Grand Rapids, MI
National Provider Identifier
1598727935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301070226
- 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, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 158 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Ophthalmology PC | Ophthalmology | Current | Accepting new patients |
| Cascade Ophthalmology PC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1013979756
-
- Ophthalmology Physician
- Kalamazoo, MI
- NPI 1174855134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.