DOUGLAS E HENRY (MD) – Pediatric Rehabilitation Medicine Physician, NPI 1639116122
Pediatric Rehabilitation Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
565 PHYSICAL MEDICINE AND REHABILITATION in MI
Provider Addresses for DOUGLAS E HENRY (MD)
235 WEALTHY ST SE
GRAND RAPIDS, MI 495035247
Phone: (616) 840-8877
Fax: (616) 840-9690
Type: Mailing
Cleveland Clinic Children's Hospital For Rehabilitation, 2801, Martin Luther King Junior Drive, Buckeye-Woodhill, Cleveland, Cuyahoga County, Ohio, 44104, United States
CLEVELAND, OH 441043815
Phone: (216) 448-6254
Fax: (216) 448-6061
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $509.
Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($332).
Total Amount
$509
General + Research + Ownership
Payments
17
Total payment records
General Amount
$509
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $332 |
| Inspire Medical Systems, Inc. | $122 |
| Merz Pharmaceuticals, LLC | $40 |
| Ipsen Biopharmaceuticals, Inc | $15 |
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: 2005-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051208000529 | I | Physical Medicine And Rehabilitation | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | OK | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Medicine And Rehabilitation | MI | |
| - | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Therapist In Private Practice | MI | |
| - | MI |
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