Individual provider Active NPI

Reynold Henry, MD, MPH

  • Trauma Surgery Physician
  • Portland, OR
National Provider Identifier
1982131058
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
D0103581 Issued in MD
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
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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

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, MD5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
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
Shock Trauma Associates PAGroup PAC ID 6800882317, 258 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Desert Trauma Surgeons IncGroup PAC ID 0547366106, 36 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146985CAMDSurgery Physician
35761NEMDSurgical Critical Care Physician
MD210677ORMDSurgical Critical Care Physician
D0103581MDMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities Current Accepting new patients
Lexington Regional Health Center CurrentSince May 14, 2025 Accepting new patients
Lexington Regional Health Center Emergency Medicine CurrentSince May 14, 2025 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
University Professional Services CurrentSince Jul 1, 2024 Accepting new patients
Unmc Physicians CurrentSince Oct 6, 2023 Accepting new patients
Lexington Regional Health Center Current Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Apr 1, 2025 Accepting new patients
Curry Health District CurrentSince Dec 1, 2022 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Jan 6, 2026 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Apr 1, 2025 Accepting new patients
Curry Health District CurrentSince Dec 1, 2022 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
The Nebraska Medical Center Emergency Medicine Past Accepting new patients
Marque Medical Clinic, Inc. Past Accepting new patients
Marque Medical Clinic, Inc. PastSince Mar 22, 2020 Accepting new patients
Columbia Lutheran Charities 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) 559-1010

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
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#L611
Portland, OR 97239
Phone (503) 494-5300

Interoperability endpoints

  • Direct secure messaging: rhenry1312984@direct.umm.edu

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "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": "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": "2026-09-21",
        "certification_date": "2026-09-21",
        "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

Verify at the official NPI Registry.