NPIMap

Individual provider Active NPI

Kenneth D Henson, M.D.

  • Cardiovascular Disease Physician
  • Sarasota, FL
National Provider Identifier
1902883796
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME58636 Issued in FL
Practice address
3830 Bee Ridge Rd
Ste 201
Sarasota, FL 34233-1105
Phone
(941) 929-1039
Fax
(941) 929-1044
NPI assigned
Dec 22, 2005
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME58636 FL Primary

Addresses

Primary practice location

3830 Bee Ridge Rd
Ste 201
Sarasota, FL 34233-1105

Mailing address

3830 Bee Ridge Rd
Ste 201
Sarasota, FL 34233-1105
Phone (941) 929-1039

Other identifiers 3

IdentifierTypeStateIssuer
25341OtherFLBCBS
376150900MedicaidFL
1115887OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

Care Compare profile

Medicare Care Compare

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Past Accepting new patients
Panel of Ekg - Lakewood Cardiovascular Disease Past Accepting new patients
Henson Cardiology PA Cardiovascular Disease PastSince Dec 1, 2005 Accepting new patients
Panel of Electrocardiology of Doctors Hospital Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHBBAA/Endpoint/JHBBAA

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1902883796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 BEE RIDGE RD",
            "address_2": "STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331105",
            "telephone_number": "941-929-1039",
            "fax_number": "941-929-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BEE RIDGE RD",
            "address_2": "STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331105",
            "telephone_number": "941-929-1039",
            "fax_number": "941-929-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "KENNETH",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME58636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25341",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376150900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1115887",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.