LATIFAH MYCHELLE HENRY MD
NPI 1790627248
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 06, 2026PECOS Enrolled
350 W 14TH ST # HA7024, INDIANAPOLIS, IN 46202(317) 278-2686 Get Directions Write a Review

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

About Latifah Mychelle Henry Md NPPES

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

LATIFAH MYCHELLE HENRY MD (NPI 1790627248) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790627248
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLATIFAH MYCHELLE HENRYCredential: MD
Location Address350 W 14TH ST # HA7024Indianapolis, IN 46202-2369
Mailing Address350 W 14th St # Ha7024Indianapolis, IN 46202-2369 · (317) 278-2686
Sole ProprietorNo
Enumeration DateApril 6, 2026
Last NPPES UpdateApril 9, 2026
NPPES CertifiedApril 9, 2026
NPI 1790627248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
350 W 14TH ST # HA7024, Indianapolis, IN 46202

Other Names 1

Other Name (5)Latifah Mychelle Henry-irons Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Latifah Mychelle Henry Md 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 10

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

Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA7024
INDIANAPOLIS, IN 46202

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 Latifah Henry's NPI number?

The NPI number for Latifah Henry is 1790627248. It was assigned to this individual provider in the NPPES registry on April 6, 2026. The provider is also known as Latifah Mychelle Henry-Irons MD.

Where is Latifah Henry located?

Latifah Henry practices at 350 W 14th St # Ha7024, Indianapolis, IN 46202. The listed phone number is (317) 278-2686.

What is Latifah Henry's specialty?

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

Is Latifah Henry enrolled in Medicare?

Yes. Latifah Henry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latifah Henry was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.