Individual provider Active NPI

Kerrie Henry, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1740383785
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
038003 Issued in CT
Practice address
100 Retreat Ave
Suite 201
Hartford, CT 06106
Phone
(860) 246-8568
Fax
(860) 728-5076
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 038003 CT Primary

Addresses

Primary practice location

100 Retreat Ave
Suite 201
Hartford, CT 06106

Mailing address

100 Retreat Ave
Suite 201
Hartford, CT 06106
Phone (860) 246-8568

Other practice location 1

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-8950

Other identifiers 1

IdentifierTypeStateIssuer
001380039MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khenry8968@direct.connecticutchildrens.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050817000074 CT Practitioner - Obstetrics/Gynecology 6709816036 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

345 N Main St
201 Greater Hartford Womens Health Asso
West Hartford, CT 06117-2508
Phone (860) 561-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38003CTMDLicensed Practical Nurse
038003CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Hartford Hospital CurrentSince Jan 21, 2010 Accepting new patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Oct 2, 2005 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Hartford Hospital Obstetrics & Gynecology CurrentSince Jan 21, 2010 Accepting new patients
Hartford Hospital CurrentSince Jan 21, 2010 Accepting new patients
Charter Anesthesiology LLC Past Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

8 Two Mile Rd
Ste 204
Farmington, CT 06032
Phone (860) 246-8568

704 Hebron Ave
Ste 202
Glastonbury, CT 06033
Phone (860) 561-7222

148 Eastern Blvd
Ste 102
Glastonbury, CT 06033
Phone (860) 246-8568

282 Washington St
Ste 2G
Hartford, CT 06106

282 Washington St
Ste 2F
Hartford, CT 06106
Phone (860) 545-8076

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

80 Seymour St
Fl 5
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

100 Retreat Ave
Ste 201
Hartford, CT 06106
Phone (860) 246-8568

1084 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 257-1334

1084 Cromwell Ave
Ste A
Rocky Hill, CT 06067
Phone (860) 246-8568

345 N Main St
Ste 201
West Htfd, CT 06117
Phone (860) 561-7222

Interoperability endpoints

  • Direct secure messaging: kerrie.henry.1@10170.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1740383785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "address_2": "SUITE 201",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-246-8568",
            "fax_number": "860-728-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "address_2": "SUITE 201",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-246-8568",
            "fax_number": "860-728-5076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KERRIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "038003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001380039",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khenry8968@direct.connecticutchildrens.org",
            "affiliation": "N",
            "address_1": "282 Washington St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.