Active NPI
David M Henderson, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 54373
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66103-2937 - Phone
- (913) 588-3315
- NPI assigned
- Oct 5, 2006
- Last updated
- Feb 14, 2012
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 54373 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66103-2937
Mailing address
3901 Rainbow Blvd
Kansas City, KS 66103-2937
Phone (913) 588-6670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100383570A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Rainbow Blvd
Kansas City, KS 66160-7415
Phone (913) 588-3315
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Mid-America Anesthesia Consultants, PC | Past | Accepting new patients | |
| Mid-America Cardiology Associates, Inc. | Past | Accepting new patients | |
| Westport Anesthesia Services of Kansas PA | Past | Accepting new patients | |
| St Joseph Anesthesia Services, P.C. | Past | Accepting new patients | |
| Anesthesiology, Chartered | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
8935 State Ave
Kansas City, KS 66112
Phone (816) 389-6030
11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
dba KU Anesthesiology
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
-
- Certified Registered Nurse Anesthetist
- Kansas City, KS
- NPI 1760439533
Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1467406306
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1639121635
-
- Anesthesiology Physician
- Columbia, MO
- NPI 1083728463
-
- Pain Medicine (Anesthesiology) Physician
- Kansas City, MO
- NPI 1659384188
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1821184292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661032937",
"telephone_number": "913-588-6670",
"fax_number": "913-588-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661032937",
"telephone_number": "913-588-3315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "DAVID",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "54373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100383570A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.