Patrick Ryan Henderson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

71788 Issued in GA

Practice address

410 Dickinson St
San Diego, CA 92103-6902

Phone

(803) 422-7377

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TN, NC3 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 3

Specialty

Diagnostic Radiology

Education

University of South Carolina School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
• Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328
• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
• Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score

83.97 of 100Reported as group

Quality

85.9

Improvement activities

40

Cost

72.41

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

Locations

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.

• Tennessee Interventional and Imaging Associates, PLLC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1043632433

  GA, NC

  Medicare reassignment Care Compare group NPD
• Central Valley Imaging Medical Associates, Inc

  • Diagnostic Radiology Physician
  • Manteca, CA
  • NPI 1275523169

  TN

  Medicare reassignment NPD
• I V Radiology Medical Group

  • Diagnostic Radiology Physician
  • Brawley, CA
  • NPI 1235296880

  TN

  Medicare reassignment NPD
• Modesto Radiological Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1992747547

  TN

  Medicare reassignment NPD
• St Jude Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Fullerton, CA
  • NPI 1649349705

  TN

  Medicare reassignment NPD
• West Valley Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • West Hills, CA
  • NPI 1265486427

  TN

  Medicare reassignment NPD
• Professional Radiology Inc.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
  • NPI 1043348014

  TN

  Medicare reassignment NPD
• Radiology Consultants, LTD.

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1285735571

  TN

  Medicare reassignment NPD

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

• Erlanger Health

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1861194086
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation
• HH Health System - Dekalb, LLC

  • General Acute Care Hospital
  • Fort Payne, AL
  • NPI 1770344665
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation
• Murphy Medical Center Inc

  • Critical Access Hospital
  • Murphy, NC
  • NPI 1801831102
  Care Compare affiliation

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1740445121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DICKINSON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036902",
            "telephone_number": "803-422-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DICKINSON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036902",
            "telephone_number": "803-422-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PATRICK",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "71788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Henderson, RN
• Leon Henderson
• Marian Henderson, RN
• Megan Henderson, PHARMD
• Nathaniel Amos Lee Henderson
• Philip Lee Henderson
• Riley Henderson
• Robert Clark Henderson, D.D.S.
• Sean Matthew Henderson
• Susie Henderson

• Diagnostic Radiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Diagnostic Radiology Physician in California

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