Active NPI
Timothy J Henke, MD
- Emergency Medicine Physician
- Oxford, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35074268
- Practice address
- 500 Harris Dr
Oxford, OH 45056-3640 - Phone
- (513) 529-3000
- NPI assigned
- Jun 14, 2005
- Last updated
- Jan 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35074268 | OH | Primary |
Addresses
Primary practice location
500 Harris Dr
Oxford, OH 45056-3640
Mailing address
4685 Forest Ave
Cincinnati, OH 45212-3397
Other practice location 1
3131 Queen City Ave
Cincinnati, OH 45238-2316
Phone (513) 557-3333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200182010 | Medicaid | IN | |
| 64962202 | Medicaid | KY | |
| 2072457 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35074268 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth HF LLC | Current | Accepting new patients | |
| Qualified Emergency Specialists Inc | Emergency Medicine | Current | Accepting new patients |
Locations
1472 Solutions Ctr
Chicago, IL 60677
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
3131 Queen City Ave
Cincinnati, OH 45238
Phone (513) 557-3209
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
6949 Good Samaritan Dr
Cincinnati, OH 45247
Phone (513) 246-9800
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888
10400 New Haven Rd
Harrison, OH 45030
Phone (513) 367-5888
100 Arrow Springs Blvd
Lebanon, OH 45036
Phone (513) 282-7000
1618 Deerfield Rd
Lebanon, OH 45036
Phone (513) 557-3209
8700 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 977-0079
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
500 Harris Dr
Oxford, OH 45056
Phone (513) 529-3000
Interoperability endpoints
- thenke21294@direct.trihealth.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Montgomery, OH
- NPI 1700872728
-
dba Miami University Health Services
- Family Medicine Physician
- Oxford, OH
- NPI 1174924872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1770588139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HARRIS DR",
"city": "OXFORD",
"state": "OH",
"postal_code": "450563640",
"telephone_number": "513-529-3000"
}
],
"practiceLocations": [
{
"address_1": "3131 Queen City Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452382316",
"country_code": "US",
"telephone_number": "513-557-3333",
"fax_number": "513-557-3332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENKE",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35074268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200182010",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64962202",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2072457",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.