CURTIS W HENDERSON (D.O.) – Emergency Medicine Physician, NPI 1114977154

CURTIS W HENDERSON (D.O.) is a healthcare provider. based in Emeryville, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 3385 (AZ). The NPI Number for CURTIS W HENDERSON (D.O.) is 1114977154

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
CURTIS W HENDERSON (D.O.)
NPI
1114977154
Phone
(510) 350-2600
Address
2100 POWELL ST
Enumeration Date
11 May 2006
Last Update Date
1 February 2008

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8887323317
Graduation Year
1986 (40 years ago)
PAC ID
7911910328
Group Practice PAC ID
6204256084
Professional Enrollment ID
I20060816000591
Address ID
AZ853392923LA7171XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,179 EMERGENCY MEDICINE in AZ

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Provider Addresses for CURTIS W HENDERSON (D.O.)

  • 2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States

    SUITE 900

    EMERYVILLE, CA 946081826

    Phone: (510) 350-2600

    Fax: (510) 879-9100

    Type: Mailing

  • 14502, West Meeker Boulevard, Sun City West, Maricopa County, Arizona, 85374, United States

    SUN CITY WEST, AZ 853755282

    Phone: (623) 214-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060816000591IEmergency MedicineAZTBD
I20141223001498IEmergency MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5755$0
99285Emergency department visit with high level of medical decision making3939$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2219$0
View full utilization report →

Insurance plans in this area (ZIP 94608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204256084View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineAZ
Emergency MedicineTX
Family PracticeAZ
Family Practice, Emergency MedicineGA
Emergency MedicineAZ
Emergency MedicineAZ
Family Practice, Emergency MedicineAZ
Emergency MedicineCA
Emergency MedicineIL

Reviews

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Frequently asked questions

What is the registry number for CURTIS W HENDERSON (D.O.)?
The registry entry for CURTIS W HENDERSON (D.O.) shows NPI 1114977154.
Is CURTIS W HENDERSON (D.O.)'s NPI status active today?
Active status means CURTIS W HENDERSON (D.O.)'s NPI record is not deactivated in the public file.
How should patients interpret CURTIS W HENDERSON (D.O.)'s specialty?
The extract shows Emergency Medicine Physician for CURTIS W HENDERSON (D.O.). Clinical services aligned with this taxonomy classification.
What city is tied to CURTIS W HENDERSON (D.O.)?
The directory associates CURTIS W HENDERSON (D.O.) with Emeryville, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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