JOSE LUIS HENAO MD
NPI 1275067613
Internal Medicine - Nephrology in Las Cruces, NM

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
3900 E LOHMAN AVE STE B, LAS CRUCES, NM 88011(575) 522-5752(575) 522-5722 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jose Luis Henao Md NPPES

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

JOSE LUIS HENAO MD (NPI 1275067613) is an individual nephrology provider in Las Cruces, New Mexico, licensed in New Mexico (MD2023-1540) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of University Of Massachusetts Medical School (2022).

NPPES Registry Identity

NPI1275067613
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOSE LUIS HENAOCredential: MD
Location Address3900 E LOHMAN AVE STE BLas Cruces, NM 88011-8268
Mailing Address3821 Masthead St NeAlbuquerque, NM 87109-4679 · (505) 998-7400 · Fax (505) 998-7740
Fax(575) 522-5722
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2022
Enumeration DateApril 12, 2017
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1275067613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NM · MD2023-1540
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 13298 (SD)
3900 E LOHMAN AVE STE B, Las Cruces, NM 88011

Other Identifiers 2

Other6L7121NM · Medicare
Medicaid15136728NM

Accepted 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

Jose Luis Henao 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 ID4789094418
PECOS Enrollment IDI20231211000161
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

7

Medicare enrollment records show Jose Henao reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2669 SCENIC DR
Alamogordo, NM 88310
  • Reassigned Medicare billing, New Mexico enrollment
  • 417 clinicians in this Medicare group
Specialist
3821 MASTHEAD ST NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 40 clinicians in this Medicare group
Critical Access
1901 REDROCK DR
Gallup, NM 87301
  • Reassigned Medicare billing, New Mexico enrollment
  • 179 clinicians in this Medicare group
Nephrology
1551 S SECOND ST
Gallup, NM 87301
  • Reassigned Medicare billing, New Mexico enrollment
  • 11 clinicians in this Medicare group
Multi-Specialty
1100 HIGHWAY 71 S STE 101
Hot Springs, SD 57747
  • Reassigned Medicare billing, South Dakota enrollment
  • 321 clinicians in this Medicare group
Occupational Medicine
6015 MOUNT RUSHMORE RD STE 2
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
Critical Access
300 S BYRON BLVD
Chamberlain, SD 57325
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
368 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
225 services97 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services95 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
101 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
89 services54 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
88 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Three Crosses Regional Hospital LLC

Acute Care Hospitals · Las Cruces, NM
OwnershipProprietary
CMS Certification Number320091
Location2560 Samaritan DriveLas Cruces, NM 88001 · Dona Ana County
Emergency services

Gila Regional Medical Center

Critical Access Hospitals · Silver City, NM
OwnershipGovernment - Local
CMS Certification Number321311
Location1313 E 32nd StSilver City, NM 88061 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88011 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011
Internal Medicine (Nephrology)
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011
Nurse Practitioner (Family)
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011
Nurse Practitioner (Adult Health)
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011
Nurse Practitioner
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011
Nurse Practitioner (Acute Care)
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011
Internal Medicine (Nephrology)
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011
Nurse Practitioner
3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011

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 Jose Henao's NPI number?

The NPI number for Jose Henao is 1275067613. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Jose Henao located?

Jose Henao practices at 3900 E Lohman Ave Ste B, Las Cruces, NM 88011. The listed phone number is (575) 522-5752.

What is Jose Henao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jose Henao enrolled in Medicare?

Yes. Jose Henao 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 Jose Henao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Henao reassigns Medicare benefits to 7 organizations: Otero County Hospital Association (Alamogordo, NM), Renal Medicine Associates Ltd. (Albuquerque, NM), Rehoboth Mckinley Christian Health Care Services, Inc (Gallup, NM), High Desert Nephrology Associates PLLC (Gallup, NM), Monument Health Network, Inc. (Hot Springs, SD) and 2 more organizations, listed in the Medicare section above. 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 Jose Henao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Henao accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas, Sanford Health Plan and Wellmark of South Dakota, Inc. list Jose Henao 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 Jose Henao affiliated with any hospitals?

According to CMS data, Jose Henao is affiliated with Gerald Champion Regional Medical Center, Memorial Medical Center, Mountain View Regional Medical Center, Three Crosses Regional Hospital LLC and Gila Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Henao was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.