Stephen Douglas Henry, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

C37981 Issued in CA

Practice address

2319 E Washington Blvd
Suite 2
Pasadena, CA 91104-1945

Phone

(626) 797-8800

Fax

(626) 797-8575

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal Medicine

Education

Indiana University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Five Star Home Hospice Hospice, Pasadena, CA, CCN 551631
• Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
• Huntington Hospital Hospital, Pasadena, CA, CCN 050438
• City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
• The Californian Pasadena Healthcare Nursing home, Pasadena, CA, CCN 055480

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• S D Henry MD Inc

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1649558040
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bellefontaine Health Center LLC

  • Skilled Nursing Facility
  • Pasadena, CA
  • NPI 1962180265

  Nursing home

  Care Compare affiliation
• City of Hope National Medical Center

  • General Acute Care Hospital
  • Duarte, CA
  • NPI 1750358297
  Care Compare affiliation
• Five Star Home Hospice, Inc.

  • Community Based Hospice Care Agency
  • Pasadena, CA
  • NPI 1730206038
  Care Compare affiliation
• Pasadena Hospital Association, LTD

  • General Acute Care Hospital
  • Pasadena, CA
  • NPI 1407828429
  Care Compare affiliation
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation
• Usc Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1033716147
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1811925183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 E WASHINGTON BLVD",
            "address_2": "SUITE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041945",
            "telephone_number": "626-797-8800",
            "fax_number": "626-797-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 E WASHINGTON BLVD",
            "address_2": "SUITE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041945",
            "telephone_number": "626-797-8800",
            "fax_number": "626-797-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "C37981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C37981",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "953652123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry P Sideropoulos MD Inc
• Kim Henry-Nance, L.M.F.T
• Jean Claude Henry, MD
• Marlena Henry
• Skylar Madison Henry
• Stefan Henschke
• Aaron M Henson
• Hep Enterprises Inc
• Her Space Therapy, a Marriage and Family Corporation
• Choua Her

• Geriatric Medicine (Internal Medicine) Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.

Verify at the official NPI Registry.