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Dr. Thomas J Henke , DO

General Practice β€’ Grand Rapids, MI

Active NPI 1922485515 Individual Practitioner Male Practitioner
Practice location in NPPES

625 Kenmoor Ave Se Ste 301
Grand Rapids, MI 495462395

Call 6169168063 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

625 Kenmoor Ave Se Ste 301

Grand Rapids, MI 495462395

Telephone 6169168063
Organization at the Same NPPES Address or Phone
Being Centered Llc Facility NPI 1912504002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Edgewood, KY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

10 active clinicians are listed under General Practice with a practice address in Grand Rapids, MI (369 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES MI 5101025584

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Preventive Medicine - Public Health & General Preventive Medicine

NUCC Taxonomy Code: 2083P0901X

License # reported to NPPES MI 5101025584

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Clinic/Center - Urgent Care

NUCC Taxonomy Code: 261QU0200X

License # reported to NPPES MI 5101025584
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

3084 Barons Cove Dr

Edgewood, KY 410178131

Phone: 8593418877

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Sawsan Bazzi-Ismail

Nurse Practitioner - Family

NPI 1508429507

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2022

Preventive Medicine (license number reported to NPPES: MI 5101025584)

πŸ“
Updated Practice Location November 25, 2020

Registered at 625 KENMOOR AVE SE STE 301, GRAND RAPIDS, MI 495462395 (Tel: 5132331511)

πŸ‘€
Provider Name / Credentials Updated November 25, 2020

Recorded as THOMAS HENKE, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2020

General Practice (license number reported to NPPES: MI 5101025584)

βœ…
NPI Profile Active May 03, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 03, 2015

Registered at 3084 BARONS COVE DR, EDGEWOOD, KY 410178131 (Tel: 8593418877)

πŸ“
Business Mailing Address (Initial Record) May 03, 2015

Registered at 3084 BARONS COVE DR, EDGEWOOD, KY 410178131

πŸ‘€
Provider Name / Credentials (Initial Record) May 03, 2015

Recorded as THOMAS HENKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 03, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922485515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2015
Last Update: March 22, 2022
Sole Proprietor: Yes

Other General Practices in Grand Rapids

Healthcare providers in Grand Rapids

Mailing Address

3084 Barons Cove Dr

Edgewood, KY 410178131

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.