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DR. KAMAL HANEE HENDERSON MD
NPI 1003137407
Internal Medicine - Cardiovascular Disease in Winston Salem, NC

Active since June 20, 2010PECOS EnrolledAccepts Medicare Assignment
186 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 277-2000(336) 277-2050 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2022, Dec 24, 2021 (2 updates tracked since 2021).

About Dr. Kamal Hanee Henderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAMAL HANEE HENDERSON MD (NPI 1003137407) is an individual cardiovascular disease provider in Winston Salem, North Carolina, licensed in North Carolina (201400774) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003137407
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KAMAL HANEE HENDERSONCredential: MD
Location Address186 KIMEL PARK DRWinston Salem, NC 27103-6946
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 277-2000 · Fax (336) 277-2050
Phone(336) 277-2000
Fax(336) 277-2050
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateJune 20, 2010
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1003137407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 201400774
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
186 KIMEL PARK DR, Winston Salem, NC 27103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003 · Phone (314) 362-1700 · Fax (314) 362-9878
Location 21700 Wheeling StAurora, CO 80045-7211 · Phone (303) 399-8020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kamal Hanee Henderson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729220967
PECOS Enrollment IDI20250924004280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kamal Henderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Moses H. Cone Memorial Hospital Operating Corporation
27 mi
Internal Medicine
509-E NORTH ELAM AVENUE, 3RD FLOOR
Greensboro, NC 27403
  • Reassigned Medicare billing, North Carolina enrollment
  • 835 clinicians in this Medicare group
NPI 1013265909 (336) 832-1970
Novant Health Ballantyne Medical Center LLC
77 mi
Nurse Anesthetist, Certified Registered
10905 PROVIDENCE RD W
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 422 clinicians in this Medicare group
NPI 1760190607 (980) 488-4000
Salem Health
2,297 mi
Family Medicine
105 ARNEY RD STE 120
Woodburn, OR 97071
  • Reassigned Medicare billing, Oregon enrollment
  • 625 clinicians in this Medicare group
NPI 1578112066 (503) 184-4400
Salem Health West Valley
2,317 mi
Critical Access
525 SE WASHINGTON ST
Dallas, OR 97338
  • Reassigned Medicare billing, Oregon enrollment
  • 254 clinicians in this Medicare group
NPI 1245237486 (503) 623-8301

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON MITCHELL ST CLAIR MD
Nuclear Medicine (Nuclear Cardiology)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000
BROOKE NICOLE SPENCER PA-C
Physician Assistant
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000
BOBBI-LYN BROWN ANP-C
Nurse Practitioner
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000
DAVIDSON H. GIVENS MD
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000
DR. PRAKASH HARIKRISHNAN
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000
JIN ZHAO M.D., PH.D.
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000
FRANCES OLIVER WOOD MD
Internal Medicine (Interventional Cardiology)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000
ROBIN SUSANNE ST.CLAIR PA
Physician Assistant
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 277-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kamal Henderson's NPI number?

The NPI number for Kamal Henderson is 1003137407. It was assigned to this individual provider in the NPPES registry on June 20, 2010.

Where is Kamal Henderson located?

Kamal Henderson practices at 186 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (336) 277-2000.

What is Kamal Henderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kamal Henderson enrolled in Medicare?

Yes. Kamal Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kamal Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamal Henderson reassigns Medicare benefits to 4 organizations: The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC), Novant Health Ballantyne Medical Center LLC (Charlotte, NC), Salem Health (Woodburn, OR) and Salem Health West Valley (Dallas, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kamal Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kamal Henderson accept?

Health plans from AmeriHealth Caritas Next and Blue Cross Blue Shield of Wyoming list Kamal Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kamal Henderson affiliated with any hospitals?

According to CMS data, Kamal Henderson is affiliated with Salem Hospital.

When was this NPI record last updated?

The NPPES record for Kamal Henderson was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.