Active NPI
Eva L Henry, M.D.
- Specialist
- Wichita, KS
National Provider Identifier
1801810312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0431204
- Practice address
- 10111 E 21St St N Ste 105
Wichita, KS 67206-3555 - Phone
- (316) 260-5001
- Fax
- (316) 260-5424
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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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- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Neurology Physician
- San Antonio, TX
- NPI 1356554844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0431204 | KS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Past | Accepting new patients | |
| San Marcos Neurology Associates | Past | Accepting new patients | |
| Pars Neurology PA | Specialist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHBBCA/Endpoint/CHBBCA
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0431204 | KS | Primary |
Addresses
Primary practice location
10111 E 21St St N Ste 105
Wichita, KS 67206-3555
Mailing address
10111 E 21St St N Ste 105
Wichita, KS 67206-3555
Phone (316) 260-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200337150A | Medicaid | KS |
NPI Registry JSON
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1801810312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10111 E 21ST ST N STE 105",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063555",
"telephone_number": "316-260-5001",
"fax_number": "316-260-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10111 E 21ST ST N STE 105",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063555",
"telephone_number": "316-260-5001",
"fax_number": "316-260-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "EVA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "0431204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200337150A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.