Individual provider Active NPI

David S Henley, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1770518128
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00030661 Issued in WA
Practice address
17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone
(833) 228-6889
Fax
(877) 853-0376
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00030661 WA Primary
Diagnostic Radiology Physician 2085R0202X 15242 ND
Diagnostic Radiology Physician 2085R0202X 11520C WY

Addresses

Primary practice location

17310 Wright St Ste 103
Omaha, NE 68130-2405

Mailing address

PO Box 84432
Seattle, WA 98124-5732
Phone (206) 248-9729

Other practice location 1

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Other practice location 2

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-3375

Other practice location 3

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

Other practice location 4

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5301

Other practice location 5

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Other identifiers 1

IdentifierTypeStateIssuer
8147159MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IA, MN, TX, WI, WY, TN, MA, ND, IL, AR, MO, SD, NE14 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 14

Enrollment IDStateProvider typePAC IDDetails
I20040427000527 WA Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 25 organizations
I20181001001826 IA Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 3 organizations
I20181003001593 MN Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 1 organization
I20190115000657 TX Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 5 organizations
I20190909000147 WI Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 2 organizations
I20191118002842 WY Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 2 organizations
I20191217003130 TN Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 1 organization
I20201019002411 MA Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 2 organizations
I20220210000220 ND Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 1 organization
I20221219002484 IL Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 2 organizations
I20230210000489 AR Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 1 organization
I20230218000088 MO Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 2 organizations
I20240702003332 SD Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 2 organizations
I20251125002847 NE Practitioner - Diagnostic Radiology 2769374032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Lincoln Radiology Group P C 47 clinicians
Trinity Health 292 clinicians
Gibson Community Hospital Association 159 clinicians
Memorial Hospital of Sheridan County 90 clinicians
Avera McKennan 957 clinicians
McFarland Clinic PC 353 clinicians
Cheyenne Radiology Group 34 clinicians
Diagnostic Radiology PC 65 clinicians
Radiologic Medical Services PC 29 clinicians
Southeast Iowa Regional Medical Center Inc 259 clinicians
Allen Memorial Hospital Corporation 149 clinicians
State University of Iowa 1,886 clinicians
Associated Radiologists LTD 38 clinicians
Central Kentucky Radiology PLLC 54 clinicians
Lima Radiological Associates 50 clinicians
Plains Radiology Services LLC 61 clinicians
Great Plains Radiology LLC 39 clinicians
Grand Island Radiology Associates PC 44 clinicians
Chickasaw Nation Division of Health Chickasaw Nation Medical Center 243 clinicians
Radiologists of Cape Cod Hospital 18 clinicians
Baptist Physician Network 121 clinicians
Prairie Du Chien Memorial Hospital Association Inc 49 clinicians
The Duluth Clinic LTD 1,135 clinicians

Practice addresses (Care Compare)

Lake Tapps, WA 98391
Phone (402) 481-6000

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400

1920 186TH Ave E
Lake Tapps, WA 98391-6467
Phone (605) 322-4878

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

27 Park St
Hyannis, MA 02601-5230
Phone (508) 862-5000

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

3555 Stagg Dr
Beaumont, TX 77701-4509
Phone (409) 212-5922

37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

4406 Orchard Ave
Anacortes, WA 98221-4439
Phone (508) 862-7777

Hospital & facility affiliations

  • University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15242NDMDDiagnostic Radiology Physician
MD00030661WAMDDiagnostic Radiology Physician
11520CWYMDDiagnostic Radiology Physician
58697TNMDNurse Practitioner

Practice roles (60 of 89)

OrganizationSpecialtyStatusNew patients
Big Horn Health Network CurrentSince Mar 1, 2025 Accepting new patients
Sgoh Acquisition Inc CurrentSince Jan 1, 2023 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Dec 23, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 14, 2025 Accepting new patients
Central Kentucky Radiology PLLC Diagnostic Radiology CurrentSince Mar 10, 2020 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Sep 4, 2019 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Nov 20, 2024 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Dec 5, 2024 Accepting new patients
Trinity Health CurrentSince Feb 1, 2022 Accepting new patients
Radiology Muskegon PC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Sun View Imaging, LLC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Trinity Health Current Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Mar 26, 2024 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Mar 3, 2023 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Memorial Hospital of Sheridan County Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jan 1, 2019 Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Baptist Physician Network CurrentSince Jul 1, 2019 Accepting new patients
American Health Imaging of Florida LLC CurrentSince Jul 14, 2020 Accepting new patients
McFarland Clinic PC CurrentSince Feb 1, 2020 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Jan 27, 2026 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Mar 16, 2019 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jan 30, 2026 Accepting new patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 24, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince May 24, 2025 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Mar 28, 2026 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 13, 2021 Accepting new patients
Cheyenne Radiology Group CurrentSince Apr 1, 2022 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Trinity Health CurrentSince Feb 1, 2022 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Dec 11, 2024 Accepting new patients
Hegg Memorial Hospital Family Medicine Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jan 1, 2019 Accepting new patients
Sgoh Acquisition Inc CurrentSince Jan 1, 2023 Accepting new patients
Hegg Memorial Hospital Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 1, 2020 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Nov 27, 2020 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jan 12, 2026 Accepting new patients
Lincoln Radiology Group PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 9, 2025 Accepting new patients
Hegg Memorial Hospital CurrentSince Sep 1, 2018 Accepting new patients
Primrose Nephrology, Inc. Current Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Mar 8, 2024 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Lima Radiological Associates Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Sgoh Acquisition Inc CurrentSince Jan 1, 2023 Accepting new patients
Madison Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Feb 10, 2020 Accepting new patients
Madison Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Mar 25, 2024 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Sep 1, 2019 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Dec 11, 2024 Accepting new patients
Henry County Health Center Inc CurrentSince Nov 24, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations (25 of 66)

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223

2771 Oakdale Blvd
Ste 3
Oakdale, IA 52241
Phone (319) 545-7310

255 N Welch Ave
Primghar, IA 51245
Phone (712) 957-2300

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1218 S Broadway
Ste 310
Lexington, KY 40504

148 London Mountain View Dr
Ste 1
London, KY 40741
Phone (606) 877-2840

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 172

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.

View all 172

Hospital & facility affiliations 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1770518128",
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
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            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245732",
            "telephone_number": "206-248-9729",
            "fax_number": "206-431-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        }
    ],
    "practiceLocations": [
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            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
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        },
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            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
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            "country_name": "United States",
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        },
        {
            "address_1": "1 Burdick Expy W",
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            "state": "ND",
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            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5301",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "fax_number": "319-248-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00030661",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "15242",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "11520C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8147159",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.