JULIAN HENDERSON MD
NPI 1700377033
Surgery in Kankakee, IL
About Julian Henderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIAN HENDERSON MD (NPI 1700377033) is an individual surgery provider in Kankakee, Illinois, licensed in Illinois (036165552) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Eastern Virginia Medical School (2018).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Julian Henderson Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Julian Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Des Plaines, IL 60016
- Reassigned Medicare billing, Illinois enrollment
- 443 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Katherine Shaw Bethea Hospital
Acute Care Hospitals · Dixon, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILSaint Anthony Medical Center
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60901 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Julian Henderson's NPI number?
The NPI number for Julian Henderson is 1700377033. It was assigned to this individual provider in the NPPES registry on May 22, 2018.
Where is Julian Henderson located?
Julian Henderson practices at 555 W Court St Ste 214, Kankakee, IL 60901. The listed phone number is (815) 928-6131.
What is Julian Henderson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Julian Henderson enrolled in Medicare?
Yes. Julian Henderson 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.
Which organizations bill Medicare for Julian Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julian Henderson reassigns Medicare benefits to 2 organizations: Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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 Julian Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julian Henderson accept?
Health plans from Dean Health Plan list Julian Henderson 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.
Is Julian Henderson affiliated with any hospitals?
According to CMS data, Julian Henderson is affiliated with Katherine Shaw Bethea Hospital, Osf Saint Elizabeth Mdl Ctr and Saint Anthony Medical Center.
When was this NPI record last updated?
The NPPES record for Julian Henderson was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Julian Henderson, MD · NPI 1700377033
Surgery physician in Kankakee, Illinois. Individual provider, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1700377033 (Entity type: Individual)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 036165552 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 555 W COURT ST STE 214, Kankakee, IL 60901-3674
- **Phone:** (815) 928-6131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prime Healthcare Illinois Medical Group LLC (NPI 1023837689, Des Plaines, IL); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Eastern Virginia Medical School, class of 2018
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700377033) · Data from the CMS NPPES public registry.