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THERESA HENSON M.D
NPI 1538533724
Internal Medicine - Pulmonary Disease in Bronx, NY

Active since November 25, 2015PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 30, 2022, Jul 27, 2021, Apr 10, 2020 and 5 more (8 updates tracked since 2015).

About Theresa Henson M.d NPPES

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

THERESA HENSON M.D (NPI 1538533724) is an individual pulmonary disease provider in Bronx, New York, licensed in New York (305540) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with St Barnabas Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1538533724
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameTHERESA HENSONCredential: M.D
Location Address4422 3RD AVEBronx, NY 10457-2545
Mailing Address4422 3rd AveBronx, NY 10457-2545
Phone(718) 960-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 25, 2015
Last NPPES UpdateJune 27, 20238 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1538533724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 305540
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
4422 3RD AVE, Bronx, NY 10457
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-8580
Location 22902 3rd AveBronx, NY 10455-2601 · Phone (718) 571-9276
Location 31000 10th AveNew York, NY 10019-1147 · Phone (212) 523-4000
Location 42201 Hempstead TpkeEast Meadow, NY 11554-1859 · Phone (516) 572-0123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Henson M.d 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 ID6406195064
PECOS Enrollment IDI20231206000075
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
224 services44 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.
173 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services22 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.
29 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services24 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 20

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

NAI LI D.O.
Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
ADERINOLA OMONIYI PHARMD
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6179
CATHERINE AKRAM TAWFIK DO
Dermatology
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6649
VALENTYNA OLINCHUK MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6211
DUSAY SALIH MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
KATHLEEN DIMAGGIO CNM, NP
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9415
DR. ROBERT ADLAI MENKEL M.D.
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
DEEPIKA KURUP
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000

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 Theresa Henson's NPI number?

The NPI number for Theresa Henson is 1538533724. It was assigned to this individual provider in the NPPES registry on November 25, 2015.

Where is Theresa Henson located?

Theresa Henson practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Theresa Henson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Theresa Henson enrolled in Medicare?

Yes. Theresa Henson 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.

Is Theresa Henson affiliated with any hospitals?

According to CMS data, Theresa Henson is affiliated with St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Henson was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.