DR. MIKE DANIEL HENDERSON D.O.
NPI 1609901602
Internal Medicine in Bend, OR
About Dr. Mike Daniel Henderson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIKE DANIEL HENDERSON D.O. (NPI 1609901602) is an individual internal medicine provider in Bend, Oregon, licensed in Oregon (DO25674) and active in the NPI registry since February 2007. He has opted out of Medicare through May 18, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Mike Daniel Henderson D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2020 through May 18, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEND, OR 97701
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 Mike Henderson's NPI number?
The NPI number for Mike Henderson is 1609901602. It was assigned to this individual provider in the NPPES registry on February 22, 2007.
Where is Mike Henderson located?
Mike Henderson practices at 1247 NE Medical Center Dr, Bend, OR 97701. The listed phone number is (541) 318-4249.
What is Mike Henderson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mike Henderson enrolled in Medicare?
No. Mike Henderson has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mike Henderson was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Mike Daniel Henderson, D.O. · NPI 1609901602
Internal Medicine physician in Bend, Oregon. Individual provider, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1609901602 (Entity type: Individual)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DO25674 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1247 NE MEDICAL CENTER DR, Bend, OR 97701-3786
- **Phone:** (541) 318-4249
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 17, 2009
- **Other identifiers:** Medicare PIN 142137 (OR); Medicare PIN 141171 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1609901602) · Data from the CMS NPPES public registry.