Thomas A Hennebry, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

22830 Issued in OK

Practice address

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Phone

(405) 608-3800

Fax

(405) 608-3910

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
• Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234
• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
• St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
• Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
• Direct secure messaging: thennebry@direct.okheart.com
• Direct secure messaging: thennebry18436@direct.okheart.com
• FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Oklahoma Heart Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1083617005

  Corporate Director

  CMS ownership

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.

• Ohh Physicians, LLC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1023087772
  Medicare reassignment Care Compare group NPD
• Mercy Hospital Oklahoma City, Inc

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1922192186
  Medicare reassignment NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Oklahoma Heart Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1083617005

  Cardiovascular Disease

  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Integris Health Edmond, Inc

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1720373103
  Care Compare affiliation
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation
• Oklahoma Heart Hospital South LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1841442274
  Care Compare affiliation
• Oklahoma Heart Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1083617005
  Care Compare affiliation
• Uhs of Oklahoma, LLC

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1881662070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEBRY",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "22830",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "22830",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100027980A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thennebry@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Henley Care LLC
• Darah M Henley
• Tiffany Henley
• James David Henneberry, MD
• Michael Henneberry
• John Paul Hennessee Jr., M.D.
• Nicole Renee Henning, B.A.
• Corbin Henningsen, LCSW
• Lindsey Kay Henningsen, LPC
• Henry M. Asin

• Interventional Cardiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Interventional Cardiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.