DR. HENRY GAINES M.D.
NPI 1821158064
Internal Medicine in New York, NY

Active since December 11, 2006PECOS Enrolled
534 W 135TH ST, NEW YORK, NY 10031(212) 491-2300 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Henry Gaines M.d. NPPES

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

DR. HENRY GAINES M.D. (NPI 1821158064) is an individual internal medicine provider in New York, New York, licensed in New York (143276) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821158064
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HENRY GAINESCredential: M.D.
Location Address534 W 135TH STNew York, NY 10031-8601
Mailing Address34 Kenwood RdTenafly, NJ 07670-2212 · (201) 568-0487
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 9, 2012
✔ NPI 1821158064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 143276
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
534 W 135TH ST, New York, NY 10031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henry Gaines 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Henry Gaines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 612 clinicians in this Medicare group
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982993184 (New York)
  • 3,922 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10031 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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 16

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

Social Worker
534 W 135TH ST
NEW YORK, NY 10031
Social Worker (Clinical)
534 W 135TH ST
NEW YORK, NY 10031
Nurse Practitioner (Family)
534 W 135TH ST
NEW YORK, NY 10031
Internal Medicine
534 W 135TH ST
NEW YORK, NY 10031
Nurse Practitioner (Obstetrics & Gynecology)
534 W 135TH ST, CHARLES B RANGEL COMMUNITY CENTER -DEPT OB/GYN
NEW YORK, NY 10031
Pediatrics
534 W 135TH ST
NEW YORK, NY 10031
Internal Medicine
534 W 135TH ST
NEW YORK, NY 10031
Psychiatry & Neurology (Psychiatry)
534 W 135TH ST
NEW YORK, NY 10031

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 Henry Gaines's NPI number?

The NPI number for Henry Gaines is 1821158064. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Henry Gaines located?

Henry Gaines practices at 534 W 135th St, New York, NY 10031. The listed phone number is (212) 491-2300.

What is Henry Gaines's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Henry Gaines enrolled in Medicare?

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

Which organizations bill Medicare for Henry Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Gaines reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Trustees Of Columbia University In The City Of New York (New York, NY). 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 Henry Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henry Gaines was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.