Active NPI
Reynold Henry, MD, MPH
- Trauma Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- D0103581
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-5300
- Fax
- (503) 494-6519
- NPI assigned
- May 18, 2017
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | A146985 | CA | |
| Trauma Surgery Physician | 2086S0127X | D0103581 | MD | Primary |
| Surgery Physician | 208600000X | A146985 | CA | |
| Surgery Physician | 208600000X | MD210677 | OR | |
| Trauma Surgery Physician | 2086S0127X | A146985 | CA | |
| Emergency Medicine Physician | 207P00000X | 35761 | NE | |
| Surgical Critical Care Physician | 2086S0102X | 35761 | NE | |
| Trauma Surgery Physician | 2086S0127X | MD210677 | OR | |
| Surgery Physician | 208600000X | 35761 | NE | |
| Surgical Critical Care Physician | 2086S0102X | MD210677 | OR | |
| Trauma Surgery Physician | 2086S0127X | 35761 | NE |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704
Other practice location 1
8600 Old Georgetown Rd
Bethesda, MD 20814-1497
Phone (301) 896-3100
Other practice location 2
94220 4th St
Gold Beach, OR 97444-7756
Phone (541) 247-3000
Other practice location 3
1200 N State St Ste Ct-A7D
Los Angeles, CA 90033-1029
Phone (323) 442-9064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, NE, CO, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181025003001 | CA | Practitioner - General Surgery | 6204189988 | Reassigns benefits to 2 organizations |
| I20220701002596 | OR | Practitioner - General Surgery | 6204189988 | Reassigns benefits to 4 organizations |
| I20231108001246 | NE | Practitioner - General Surgery | 6204189988 | Reassigns benefits to 3 organizations |
| I20250523002659 | CO | Practitioner - General Surgery | 6204189988 | Reassigns benefits to 1 organization |
| I20260305000219 | MD | Practitioner - Critical Care (Intensivists) | 6204189988 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Albany Medical College of Union University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acute Care Surgery Medical Group IncShock Trauma Associates PAUniversity Professional ServicesDesert Trauma Surgeons Inc
Practice addresses (Care Compare)
1180 N Indian Canyon Dr
Suite E317
Palm Springs, CA 92262-4809
Phone (760) 621-0145
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-0000
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900
Hospital & facility affiliations
- University of Maryland Medical Center
- Ohsu Hospital and Clinics
- St Mary Medical Center
- Desert Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146985 | CA | MD | Surgery Physician |
| 35761 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Regional Health Center | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Unmc Physicians | Current | Accepting new patients | |
| Lexington Regional Health Center | Current | Accepting new patients | |
| Curry Health District | Current | Accepting new patients | |
| Curry Health District | Current | Accepting new patients | |
| Lexington Regional Health Center | Emergency Medicine | Current | Accepting new patients |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Western Healthcare Services Texas | Emergency Medicine | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Marque Medical Clinic, Inc. | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Marque Medical Clinic, Inc. | Past | Accepting new patients | |
| The Nebraska Medical Center | Emergency Medicine | Past | Accepting new patients |
Locations
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
1180 N Indian Canyon Dr
Ste E317
Palm Springs, CA 92262
Phone (760) 416-5023
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000
3181 SW Sam Jackson Park Rd
#L611
Portland, OR 97239
Phone (503) 494-5300
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
Interoperability endpoints
- rhenry1312984@direct.umm.edu
Organizations & group practices 20
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
CA, CO, Surgery
-
- Emergency Medicine Physician
- Gold Beach, OR
- NPI 1336878024
Emergency Medicine, OR
-
- Emergency Medicine Physician
- Lexington, NE
- NPI 1316016165
Emergency Medicine, NE
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Clinic/Center
- Vancouver, WA
- NPI 1881848307
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
Hospital
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1982131058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-2704",
"fax_number": "410-500-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-5300",
"fax_number": "503-494-6519"
}
],
"practiceLocations": [
{
"address_1": "8600 Old Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208141497",
"country_code": "US",
"telephone_number": "301-896-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "94220 4th St",
"address_purpose": "LOCATION",
"city": "Gold Beach",
"state": "OR",
"postal_code": "974447756",
"country_code": "US",
"telephone_number": "541-247-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 N State St Ste Ct-A7D",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "323-442-9064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "REYNOLD",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A146985",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MD",
"license": "D0103581",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A146985",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD210677",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "A146985",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "35761",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NE",
"license": "35761",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "OR",
"license": "MD210677",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "35761",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "OR",
"license": "MD210677",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NE",
"license": "35761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.