Susan J Henley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0043591 Issued in MD

Practice address

1501 Sulgrave Ave
Ste 306
Baltimore, MD 21209-3651

Phone

(410) 433-8801

Fax

(410) 433-8801

NPI assigned

Mar 31, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.henley.1@19292.direct.athenahealth.com

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.

• Privia Medical Group, LLC

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  • Arlington, VA
  • NPI 1013042480

  Family Medicine, MD

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Anshu Guleria MD LLC

  • Urology Physician
  • Manassas, VA
  • NPI 1386777548
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1902867781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "STE 306",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093651",
            "telephone_number": "410-433-8801",
            "fax_number": "410-433-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "STE 306",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093651",
            "telephone_number": "410-433-8801",
            "fax_number": "410-433-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0043591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191361100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan A. Henesch, M.D.
• Michelle Henggeler, MD
• Mira Henien, MD
• Larakishma Henley
• Michele C. Henley, M.D.
• Madolyn Henline
• Linda Lee Henn
• Ralph Frank Henn III, M.D.
• George Hennawi, MD
• Aretha A. Hennessee, CERTIFIED REGISTERED

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.