HENDERSON HOSPITAL, LLC
NPI 1043710437
Internal Medicine in Henderson, TX
About Henderson Hospital, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENDERSON HOSPITAL, LLC (NPI 1043710437) is a healthcare organization registered as an internal medicine in Henderson, Texas and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates and lists Stephen C. Petrovich, Evp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Henderson Hospital, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Henderson Hospital, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 45D0482903
Henderson Hospital, LLC · Henderson, TXCertificate of Waiver 45D0919364
Henderson Hospital, LLC · Henderson, TXFrequently 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 Henderson Hospital, LLC's NPI number?
The NPI number for Henderson Hospital, LLC is 1043710437. It was assigned to this organization in the NPPES registry on February 13, 2018.
Where is Henderson Hospital, LLC located?
Henderson Hospital, LLC is located at 300 Wilson St, Henderson, TX 75652. The listed phone number is (903) 655-6536.
What is Henderson Hospital, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Henderson Hospital, LLC enrolled in Medicare?
Yes. Henderson Hospital, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Henderson Hospital, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians reassign their Medicare billing to Henderson Hospital, LLC, in Certified Registered Nurse Anesthetist (CRNA), Emergency Medicine, Family Practice, General Surgery, Hospitalist and 2 other specialties. A 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 the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Henderson Hospital, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Henderson Hospital, LLC was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Henderson Hospital, Llc · NPI 1043710437
Internal Medicine organization in Henderson, Texas. Organization record, active in the CMS NPPES registry since February 13, 2018.
## Identity
- **NPI:** 1043710437 (Entity type: Organization)
- **Enumerated:** February 13, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Stephen Petrovich, EVP
## Practice location
- **Address:** 300 WILSON ST, Henderson, TX 75652-5956
- **Phone:** (903) 655-6536 · **Fax:** (903) 657-6072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (2), Family Practice (2), Internal Medicine (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2018
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043710437) · Data from the CMS NPPES public registry.