Active NPI
John S Henry, MD
- Cardiovascular Disease Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22904
- Practice address
- 1120 N 103Rd PLZ
Suite 100
Omaha, NE 68114-1114 - Phone
- (402) 391-5055
- Fax
- (402) 391-5053
- NPI assigned
- May 3, 2006
- Last updated
- Jun 12, 2015
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22904 | NE | Primary |
Addresses
Primary practice location
1120 N 103Rd PLZ
Suite 100
Omaha, NE 68114-1114
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264481-00 | Medicaid | NE | |
| 1831157213 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Northwestern University Feinberg Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
1120 N 103Rd Plaza
200 Cardiothoracic Surgery
Omaha, NE 68114-1119
Phone (402) 354-0400
1120 N 103Rd PLZ
Omaha, NE 68114-1119
1501 E 10TH St
Cass County Memorial Hospital
Atlantic, IA 50022-1936
Phone (712) 243-3250
16120 W Dodge Rd
Omaha, NE 68118-2049
Phone (402) 354-0550
2540 N Healthy Way
Fremont, NE 68025-2315
Phone (402) 721-7077
350 W 23Rd St
Prairie Fields MPC
Fremont, NE 68025-2592
Phone (402) 721-7077
450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 721-1610
707 N 190TH Plaza
Elkhorn, NE 68022-3974
Phone (402) 815-4000
717 N 190TH Plaza
Suite 2400
Elkhorn, NE 68022-3974
Phone (402) 815-1901
810 N 22ND St
Methodist Physicians Clinic Heart Consults
Blair, NE 68008-1128
Phone (402) 426-2182
812 N 22ND St
Memorial Community Hospital Out Patient Cli
Blair, NE 68008-1128
Phone (402) 426-1239
8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-8163
8303 W Dodge St
Omaha, NE 68114-4108
Phone (402) 354-9400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Physicians Clinic Inc | Current | Accepting new patients | |
| Alegent Creighton Health | Past | Accepting new patients |
Locations
1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784
810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116
707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000
2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133
426 E 22nd St
Ste 100
Fremont, NE 68025
Phone (402) 727-7796
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
1120 N 103rd Plz
Ste 100
Omaha, NE 68114
Phone (402) 391-5055
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
6901 N 72nd St
Ste 3300N
Omaha, NE 68122
Phone (402) 572-3300
8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104
8601 W Dodge Rd
Ste 216
Omaha, NE 68114
Phone (402) 354-4822
Interoperability endpoints
- jhenry148396@uihcdirect.org
- john.henry@direct.nmhs.org
Organizations & group practices 4
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
- Omaha, NE
- NPI 1689628372
Cardiovascular Disease
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
IA
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
dba Alegent Health Lakeside IDTF
- Body Imaging Physician
- Omaha, NE
- NPI 1417975483
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blair, NE
- NPI 1265408819
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Critical Access Hospital
- Wahoo, NE
- NPI 1831188705
-
dba Methodist Jennie Edmundson
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1831157213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N 103RD PLZ",
"address_2": "SUITE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141114",
"telephone_number": "402-391-5055",
"fax_number": "402-391-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JOHN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NE",
"license": "22904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100264481-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831157213",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.