DR. ANJALI S. HENRY M.D.
NPI 1326204686
Pediatrics in Clear Lake, IA

Active since August 05, 2008PECOS Enrolled
401 S 15TH ST, CLEAR LAKE, IA 50428(641) 357-7442(641) 357-3070 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2022, Jul 30, 2020 (2 updates tracked since 2020).

About Dr. Anjali S. Henry M.d. NPPES

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

DR. ANJALI S. HENRY M.D. (NPI 1326204686) is an individual pediatrics provider in Clear Lake, Iowa, licensed in Iowa (40490) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326204686
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ANJALI S. HENRYCredential: M.D.
Location Address401 S 15TH STClear Lake, IA 50428-2303
Mailing Address401 S 15th StClear Lake, IA 50428-2303 · (641) 357-7442
Fax(641) 357-3070
Sole ProprietorNo
Enumeration DateAugust 5, 2008
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1326204686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IA · 40490✔ Licensed in IL · 125.053067
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
401 S 15TH ST, Clear Lake, IA 50428

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anjali S. Henry M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Anjali Henry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adolescent Medicine
401 S 15TH ST
Clear Lake, IA 50428
  • Reassigned Medicare billing, Iowa enrollment
  • 420 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50428 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 7

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

Pediatrics (Adolescent Medicine)
401 S 15TH ST
CLEAR LAKE, IA 50428
Chiropractor
401 S 15TH ST
CLEAR LAKE, IA 50428
Nurse Practitioner
401 S 15TH ST
CLEAR LAKE, IA 50428
Chiropractor
401 S 15TH ST
CLEAR LAKE, IA 50428
Pediatrics
401 S 15TH ST
CLEAR LAKE, IA 50428
Pediatrics
401 S 15TH ST
CLEAR LAKE, IA 50428
Pediatrics
401 S 15TH ST
CLEAR LAKE, IA 50428

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 Anjali Henry's NPI number?

The NPI number for Anjali Henry is 1326204686. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Anjali Henry located?

Anjali Henry practices at 401 S 15th St, Clear Lake, IA 50428. The listed phone number is (641) 357-7442.

What is Anjali Henry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anjali Henry enrolled in Medicare?

Yes. Anjali Henry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anjali Henry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjali Henry reassigns Medicare benefits to North Iowa Mercy Clinics (Clear Lake, IA). The 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 Anjali Henry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anjali Henry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Anjali Henry 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.

When was this NPI record last updated?

The NPPES record for Anjali Henry was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.