KELLY HENIGE MD
NPI 1073218376
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 04, 2023PECOS Enrolled
575 RILEY HOSPITAL DR STE 2500, INDIANAPOLIS, IN 46202(317) 944-8681 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Apr 4, 2023 (2 updates tracked since 2023).

About Kelly Henige Md NPPES

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

KELLY HENIGE MD (NPI 1073218376) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1073218376
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY HENIGECredential: MD
Location Address575 RILEY HOSPITAL DR STE 2500Indianapolis, IN 46202-5272
Mailing Address1901 1st Ave Rm 12a1New York, NY 10029-7494 · (212) 423-6058
Sole ProprietorYes
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1073218376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
575 RILEY HOSPITAL DR STE 2500, Indianapolis, IN 46202

Secondary Practice Location 1

Location 11901 1st Ave Rm 12A1New York, NY 10029-7494 · Phone (212) 423-6058

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Henige Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kelly Henige's NPI number?

The NPI number for Kelly Henige is 1073218376. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Kelly Henige located?

Kelly Henige practices at 575 Riley Hospital Dr Ste 2500, Indianapolis, IN 46202. The listed phone number is (317) 944-8681.

What is Kelly Henige's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Henige enrolled in Medicare?

Yes. Kelly Henige is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Henige was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.