IAN JACOB HENRY – Physician Assistant, NPI 1043971047

IAN JACOB HENRY is a healthcare provider. based in Leesburg, Virginia. specializing in PHYSICIAN ASSISTANT. The NPI Number for IAN JACOB HENRY is 1043971047

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
IAN JACOB HENRY
NPI
1043971047
Phone
(703) 371-4437
Address
127 FORT EVANS RD SE APT A
Enumeration Date
3 January 2022
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7038586040
Graduation Year
2021 (5 years ago)
PAC ID
9537555636
Group Practice PAC ID
4284909029
Professional Enrollment ID
I20230726002149
Address ID
VA201765101LE44045PKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for IAN JACOB HENRY

  • 127 FORT EVANS RD SE APT A

    LEESBURG, VA 201754142

    Phone: (703) 371-4437

    Type: Mailing

  • 1850 TOWN CENTER PKWY

    RESTON, VA 201903298

    Phone: (703) 689-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Smith+Nephew, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$27
View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-26

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
I20220329001103IPhysician AssistantDCTBD
I20230726002149IPhysician AssistantVATBD

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
99291Critical care, first 30-74 minutes101101$0
View full utilization report →

Insurance plans in this area (ZIP 20175)

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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: 4284909029View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physician AssistantVA
Physician AssistantVA
Critical Care (Intensivists), Internal Medicine, Infectious DiseaseVA
Physician AssistantVA
Critical Care (Intensivists), Pulmonary DiseaseVA
Critical Care (Intensivists)NY
General SurgeryMD
Physician AssistantVA
Nurse PractitionerDC

Reviews

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Frequently asked questions

What number should I use to identify IAN JACOB HENRY for billing?
Administrative and clinical systems typically use NPI 1043971047 for IAN JACOB HENRY.
Does the public listing show IAN JACOB HENRY as active?
IAN JACOB HENRY's NPI record reflects an active status in NPPES.
Which specialty label fits IAN JACOB HENRY?
NPPES ties IAN JACOB HENRY to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to IAN JACOB HENRY?
IAN JACOB HENRY shows a connection to Leesburg, Virginia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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