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TATYANNA AKYE HENDERSON
NPI 1720549983
Obstetrics & Gynecology in San Diego, CA

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
4520 EXECUTIVE DR, SAN DIEGO, CA 92121(800) 926-8273 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2025, May 10, 2023 (2 updates tracked since 2023).

About Tatyanna Akye Henderson NPPES

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

TATYANNA AKYE HENDERSON (NPI 1720549983) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (A181714) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2019).

NPPES Registry Identity

NPI1720549983
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTATYANNA AKYE HENDERSON
Location Address4520 EXECUTIVE DRSan Diego, CA 92121-3018
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Phone(800) 926-8273
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2019
Enumeration DateMarch 28, 2019
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1720549983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A181714
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4520 EXECUTIVE DR, San Diego, CA 92121
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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

Tatyanna Akye Henderson 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 ID8224495445
PECOS Enrollment IDI20230602002083
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAVEEN GUPTA MD
Internal Medicine (Critical Care Medicine)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
SHARAN NEIMAN PHARMD
Pharmacist
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (925) 297-7254
DR. ERNEST WONG DDS
Dentist
4520 EXECUTIVE DR, SUITE 200
SAN DIEGO, CA 92121
San Diego County (858) 587-2828
ROYBAL MD CHEMICAL DEPENDENCE TREATMENT INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4520 EXECUTIVE DR, SUITE 225
SAN DIEGO, CA 92121
San Diego County (858) 202-1822
INDRAJIT SENGUPTA PA-C
Physician Assistant (Medical)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
DR. ROBERT E KEARNEY MD
Surgery (Plastic and Reconstructive Surgery)
4520 EXECUTIVE DR, #150
SAN DIEGO, CA 92121
San Diego County (858) 677-9352
SUZANNE SMITH RD
Dietitian, Registered
4520 EXECUTIVE DR, SUITE PLAZA 1
SAN DIEGO, CA 92121
San Diego County (619) 543-3133
JOHN D ALEXANDER PT
Physical Therapist
4520 EXECUTIVE DR, STE 101
SAN DIEGO, CA 92121
San Diego County (858) 535-1894

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 Tatyanna Henderson's NPI number?

The NPI number for Tatyanna Henderson is 1720549983. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Tatyanna Henderson located?

Tatyanna Henderson practices at 4520 Executive Dr, San Diego, CA 92121. The listed phone number is (800) 926-8273.

What is Tatyanna Henderson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tatyanna Henderson enrolled in Medicare?

Yes. Tatyanna 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.

When was this NPI record last updated?

The NPPES record for Tatyanna Henderson was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.