Individual provider Active NPI

Timothy J Henke, MD

  • Emergency Medicine Physician
  • Oxford, OH
National Provider Identifier
1770588139
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35074268 Issued in OH
Practice address
500 Harris Dr
Oxford, OH 45056-3640
Phone
(513) 529-3000
NPI assigned
Jun 14, 2005
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200182010MedicaidIN
64962202MedicaidKY
2072457MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040822000007 OH Practitioner - Emergency Medicine 4082688445 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074268OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth HF LLC CurrentSince Jan 1, 2022 Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine CurrentSince Apr 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.