Active NPI
David S Henley, MD
- Diagnostic Radiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00030661
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8147159 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 14
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CTrinity HealthGibson Community Hospital AssociationMemorial Hospital of Sheridan CountyAvera McKennanMcFarland Clinic PCCheyenne Radiology GroupDiagnostic Radiology PCRadiologic Medical Services PCSoutheast Iowa Regional Medical Center IncAllen Memorial Hospital CorporationState University of IowaAssociated Radiologists LTDCentral Kentucky Radiology PLLCLima Radiological AssociatesPlains Radiology Services LLCGreat Plains Radiology LLCGrand Island Radiology Associates PCChickasaw Nation Division of Health Chickasaw Nation Medical CenterRadiologists of Cape Cod HospitalBaptist Physician NetworkPrairie Du Chien Memorial Hospital Association IncThe Duluth Clinic LTD
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
- Cape Cod Hospital
- Mercy Health St Ritas Medical Center
- Methodist Jennie Edmundson
- Northeast Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15242 | ND | MD | Diagnostic Radiology Physician |
| MD00030661 | WA | MD | Diagnostic Radiology Physician |
| 11520C | WY | MD | Diagnostic Radiology Physician |
| 58697 | TN | MD | Nurse Practitioner |
Practice roles (60 of 89)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Horn Health Network | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| American Health Imaging of South Carolina LLC | Current | Accepting new patients | |
| Central Kentucky Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Quantum Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| American Health Imaging of South Carolina, LLC | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Radiology Muskegon PC | Diagnostic Radiology | Current | Accepting new patients |
| Sun View Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Sheridan County | Family Medicine | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Radiology Associates of Tallahassee PA | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Physician Network | Current | Accepting new patients | |
| American Health Imaging of Florida LLC | Current | Accepting new patients | |
| McFarland Clinic PC | Current | Accepting new patients | |
| American Health Imaging of South Carolina, LLC | Current | Accepting new patients | |
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Gibson Community Hospital Association | Current | Accepting new patients | |
| American Health Imaging of South Carolina LLC | Current | Accepting new patients | |
| Henry County Health Center, Inc. | Current | Accepting new patients | |
| American Health Imaging of South Carolina LLC | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| American Health Imaging of South Carolina, LLC | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Cheyenne Radiology Group | Current | Accepting new patients | |
| Associated Radiologists, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| American Health Imaging of South Carolina LLC | Current | Accepting new patients | |
| Hegg Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Hegg Memorial Hospital | Family Medicine | Current | Accepting new patients |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Tallahassee Diag Imaging Ctr LTD | Diagnostic Radiology | Current | Accepting new patients |
| Quentin N Burdick Comprehensive Health Care Facility | Current | Accepting new patients | |
| Lincoln Radiology Group PC | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of South Carolina LLC | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Primrose Nephrology, Inc. | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Avera McKennan | Diagnostic Radiology | Current | Accepting new patients |
| Lima Radiological Associates | Diagnostic Radiology | Current | Accepting new patients |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Madison Community Hospital | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Madison Community Hospital | Current | Accepting new patients | |
| Great Plains Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Southeast Radiology Partners LTD | Diagnostic Radiology | Current | Accepting new patients |
| Prairie Du Chien Memorial Hospital Assoc Inc | Family Medicine | Current | Accepting new patients |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| Henry County Health Center Inc | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | 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
- 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.
-
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- Diagnostic Radiology Physician
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-
- Diagnostic Radiology Physician
- Kearney, NE
- NPI 1427089838
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-
- Diagnostic Radiology Physician
- Lincoln, NE
- NPI 1275587602
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-
- Diagnostic Radiology Physician
- Grand Island, NE
- NPI 1164677126
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-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
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-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1215931290
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-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1952350761
Diagnostic Radiology, WA
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
Hospital
-
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
Hospital
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
Hospital
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",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84432",
"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": [
{
"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",
"address_type": "DOM"
},
{
"address_1": "701 W Forevergreen Rd",
"address_purpose": "LOCATION",
"city": "North Liberty",
"state": "IA",
"postal_code": "523179848",
"country_code": "US",
"telephone_number": "319-356-3375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Burdick Expy W",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587014406",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.