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JULIAN HENDERSON MD
NPI 1700377033
Surgery in Kankakee, IL

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
555 W COURT ST STE 214, KANKAKEE, IL 60901(815) 928-6131 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, May 22, 2018 (2 updates tracked since 2018).

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 Saint Anthony Medical Center, and is a graduate of Eastern Virginia Medical School (2018).

NPPES Registry Identity

NPI1700377033
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJULIAN HENDERSONCredential: MD
Location Address555 W COURT ST STE 214Kankakee, IL 60901-3674
Mailing Address555 W Court St Ste 214Kankakee, IL 60901-3674 · (815) 928-6131
Phone(815) 928-6131
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2018
Enumeration DateMay 22, 2018
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1700377033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036165552✔ Licensed in RI · LP04240
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 036165552 (IL)
555 W COURT ST STE 214, Kankakee, IL 60901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

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.

PECOS PAC ID2062768864
PECOS Enrollment IDI20240918003147
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.

Hospital Affiliations CMS Care Compare

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS CLAUDIA GRACE CRUMRINE
Physician Assistant (Surgical)
555 W COURT ST STE 214
KANKAKEE, IL 60901
Kankakee County (815) 928-6131
RUJU VIVEK TRIVEDI
Physician Assistant
555 W COURT ST STE 214
KANKAKEE, IL 60901
Kankakee County (815) 928-6131
JESSE COLEMAN DO
Surgery
555 W COURT ST STE 214
KANKAKEE, IL 60901
Kankakee County (815) 928-6131

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.

Is Julian Henderson affiliated with any hospitals?

According to CMS data, Julian Henderson is affiliated with 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 22 months 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.