DR. NICHOLAS PATRICK HENTHORN MD
NPI 1154014892
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 30, 2023PECOS Enrolled
355 W 16TH ST STE 4700, INDIANAPOLIS, IN 46202(317) 963-7408 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nicholas Patrick Henthorn Md NPPES

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

DR. NICHOLAS PATRICK HENTHORN MD (NPI 1154014892) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154014892
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICHOLAS PATRICK HENTHORNCredential: MD
Location Address355 W 16TH ST STE 4700Indianapolis, IN 46202-2285
Mailing Address355 W 16th St Ste 4700Indianapolis, IN 46202-2285 · (317) 963-7408
Sole ProprietorNo
Enumeration DateMay 30, 2023
NPPES CertifiedMay 30, 2023
NPI 1154014892 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.

355 W 16TH ST STE 4700, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicholas Patrick Henthorn 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.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Clinical Neuropsychologist
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Psychiatry & Neurology (Neurology)
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Genetic Counselor, MS
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4700
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154014892, enumerated as an "individual" on May 30, 2023.

The provider is located at 355 W 16TH ST STE 4700 INDIANAPOLIS, IN 46202 and the phone number is (317) 963-7408.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.