Active NPI
Craig B Henry, MD
- Internal Medicine Physician
- Arlington, TX
National Provider Identifier
1619011988
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H2942
- Practice address
- 1217 Florida Dr
Suite 111
Arlington, TX 76015-2380 - Phone
- (817) 375-5048
- Fax
- (817) 375-5097
- NPI assigned
- Feb 19, 2007
- Last updated
- Dec 16, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H2942 | TX | Primary |
Addresses
Primary practice location
1217 Florida Dr
Suite 111
Arlington, TX 76015-2380
Mailing address
1217 Florida Dr
Suite 111
Arlington, TX 76015-2380
Phone (817) 375-5048
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098879203 | Medicaid | TX | |
| 114087304 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2942 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arlington Primary Care Associates, P.a. | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Internal Medicine
-
- Family Medicine Physician
- Arlington, TX
- NPI 1336283613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1619011988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 FLORIDA DR",
"address_2": "SUITE 111",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152380",
"telephone_number": "817-375-5048",
"fax_number": "817-375-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 FLORIDA DR",
"address_2": "SUITE 111",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152380",
"telephone_number": "817-375-5048",
"fax_number": "817-375-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "CRAIG",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H2942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098879203",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114087304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.