Active NPI
Jonathan William Henke, MD
- Hospitalist Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2021021957
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (314) 525-1328
- Fax
- (314) 525-1378
- NPI assigned
- Apr 2, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2021021957 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 94-09571 | KS | |
| Hospitalist Physician | 208M00000X | 2021021957 | MO | Primary |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328
Other practice location 1
1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-5337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Saint Louis University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021021957 | MO | MD | Hospitalist Physician |
| 94-09571 | KS | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Internal Medicine | Current | Accepting new patients |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| Cogent Healthcare of Missouri, Inc | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Internal Medicine | Current | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
Interoperability endpoints
- jhenke437689@direct-ehr-ssmhc.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1922504752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-1328",
"fax_number": "314-525-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-1328",
"fax_number": "314-525-1378"
}
],
"practiceLocations": [
{
"address_1": "1400 US Highway 61",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284100",
"country_code": "US",
"telephone_number": "636-933-5337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENKE",
"first_name": "JONATHAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2021021957",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KS",
"license": "94-09571",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2021021957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.