DR. KARL EVANS RIVERA HENSON M.D.
NPI 1629496427
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Karl Evans Henson's NPI number?

The NPI number for Karl Evans Henson is 1629496427. It was assigned to this individual provider in the NPPES registry on March 31, 2014. The provider is also known as Dr. Karl Henson M.D..

Q: What is Karl Evans Henson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Karl Evans Henson was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 31, 2014PECOS Enrolled

3990 JOHN R ST, 5 HUDSON, ROOM 5910, DETROIT, MI 48201(313) 745-9649(313) 993-0302 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Karl Evans Rivera Henson M.d. NPPES

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

DR. KARL EVANS RIVERA HENSON M.D. (NPI 1629496427) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629496427

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KARL EVANS RIVERA HENSONCredential: M.D.

Location Address3990 JOHN R ST, 5 HUDSON, ROOM 5910Detroit, MI 48201-2018

Mailing Address3990 John R St, 5 Hudson, Room 5910Detroit, MI 48201-2018 · (313) 745-9649 · Fax (313) 993-0302

Phone(313) 745-9649

Fax(313) 993-0302

Sole ProprietorNo

Enumeration DateMarch 31, 2014

Last NPPES UpdateOctober 20, 2014

✔ NPI 1629496427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

3990 JOHN R ST, Detroit, MI 48201

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Other Names 1

Other Name (5)Dr. Karl Henson M.d.

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. Karl Evans Rivera Henson 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.

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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.

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