Todd Marcos Henderson, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

22431 Issued in MS

Practice address

363 Southcrest Cir Ste 201
Southaven, MS 38671-4737

Phone

(662) 349-0488

Fax

(662) 349-5974

NPI assigned

Jan 16, 2008

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Howard University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians

Baptist Memorial Hospital-Desoto, Inc.Group PAC ID 5597758755, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Merit-based Incentive Payment System (MIPS)

Final score

86.71 of 100Reported as group

Quality

71.4

Promoting interoperability

100

Improvement activities

40

Cost

72.14

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thenderson4147@direct.bmhcc.org

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.

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Medicare reassignment Care Compare group NPD
• Memphis Lung Physicians Foundation, Inc.

  • Pulmonary Disease Physician
  • Germantown, TN
  • NPI 1811279656

  Critical Care Medicine, MS

  Medicare reassignment Care Compare group NPD
• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Medicare reassignment NPD
• Baptist Memorial Hospital- Desoto

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1679625511
  NPD
• Baptist Memorial Hospital-Desoto, Inc.

  dba Baptist Desoto Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Southaven, MS
  • NPI 1790669331
  NPD
• Memphis Lung Physicians, P.C.

  • Pulmonary Disease Physician
  • Memphis, TN
  • NPI 1053340166
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1710163050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SOUTHCREST CIR STE 201",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714737",
            "telephone_number": "662-349-0488",
            "fax_number": "662-349-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Exeter Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383931",
            "country_code": "US",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723012017",
            "country_code": "US",
            "telephone_number": "870-394-7800",
            "fax_number": "901-227-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TODD",
        "middle_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AR",
            "license": "E-12098",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "48203",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-12098",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "22431",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "48203",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AR",
            "license": "E-12098",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "48203",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MS",
            "license": "22431",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MS",
            "license": "22431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Annette Heine, PT
• Helping Hands Learning Academy, Inc
• Amy Lee Henderson, P-LPC
• Julia Mae Henderson, MA, LPC, BC-TMH
• Shoquana Henderson, BSW, RPSGT
• Terri Hayes Henson, MD
• Lily Herbert, M.D.
• Here and There Transportation, LLC
• Perry Hershfelt, AU.D.
• Nancyanne Page Hickman, P.T.

• Critical Care Medicine (Internal Medicine) Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Critical Care Medicine (Internal Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.

Verify at the official NPI Registry.