CODY L HENDERSON M.D.
NPI 1699714998
Pediatrics - Neonatal-Perinatal Medicine in San Antonio, TX

Q: What is Cody Henderson's NPI number?

The NPI number for Cody Henderson is 1699714998. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Cody Henderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Cody Henderson was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 05, 2006PECOS Enrolled

5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229(210) 541-8281(210) 541-9123 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cody L Henderson M.d. NPPES

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

CODY L HENDERSON M.D. (NPI 1699714998) is an individual neonatal-perinatal medicine provider in San Antonio, Texas, licensed in Texas (L9239) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1699714998

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameCODY L HENDERSONCredential: M.D.

Location Address5430 FREDERICKSBURG RD STE 508San Antonio, TX 78229-3561

Mailing Address5430 Fredericksburg Rd Ste 508San Antonio, TX 78229-3561 · (210) 541-8281 · Fax (210) 541-9123

Phone(210) 541-8281

Fax(210) 541-9123

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1699714998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in TX · L9239✔ Licensed in LA · 022465

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

5430 FREDERICKSBURG RD STE 508, San Antonio, TX 78229

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Secondary Practice Location 1

Location 1501 Medical Center Dr, Box 30156Alexandria, LA 71301-8124 · Phone (318) 449-7791 · Fax (318) 449-7413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody L Henderson 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.

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.

KATHLEEN MARIE MCINNIS NNP

Nurse Practitioner (Neonatal)