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DR. GAVIN JEFFREY HENDERSON M.D., PH.D.
NPI 1861693533
Pediatrics - Neonatal-Perinatal Medicine in San Francisco, CA

Active since May 30, 2007PECOS Enrolled
533 PARNASSUS AVE, U-503, BOX 0748, SAN FRANCISCO, CA 94143(415) 476-1888(415) 476-9976 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gavin Jeffrey Henderson M.d., Ph.d. NPPES

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

DR. GAVIN JEFFREY HENDERSON M.D., PH.D. (NPI 1861693533) is an individual neonatal-perinatal medicine provider in San Francisco, California, licensed in California (A108340) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861693533
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. GAVIN JEFFREY HENDERSONCredential: M.D., PH.D.
Location Address533 PARNASSUS AVE, U-503, BOX 0748San Francisco, CA 94143-2208
Mailing Address533 Parnassus Ave, U-503, Box 0748San Francisco, CA 94143-2208 · (415) 476-1888 · Fax (415) 476-9976
Phone(415) 476-1888
Fax(415) 476-9976
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1861693533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A108340
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A108340 (CA)
533 PARNASSUS AVE, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gavin Jeffrey Henderson M.d., Ph.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 Reassignment

Medicare enrollment records show Gavin Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
1.7 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOSHUA A ADISUMARTA PHARMD
Pharmacist
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1000
AYMEN SALAHADIN KABIR
Student in an Organized Health Care Education/Training Program
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-7192
SUMMER SEGAL M.S., L.G.C.
Genetic Counselor, MS
533 PARNASSUS AVE, CAMPUS BOX 0748
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-4674
JOSEPH SHIEH
Medical Genetics (Clinical Genetics (M.D.))
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-2757
MARTA GIULIA MARIA SABBADINI M.S.,L.C.G.C.,PH.D.
Genetic Counselor, MS
533 PARNASSUS AVE, BOX 0748
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-8342
DR. JASON ALEXANDER PHILLIPS PHARM.D.
Pharmacist
533 PARNASSUS AVE, ROOM U585
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1335
ALEX J LOPES
Student in an Organized Health Care Education/Training Program
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-7192
MS. MARILYN ELIZATBETH MCENHILL RN, PNP
Nurse Practitioner (Pediatrics)
533 PARNASSUS AVE, ROOM U585
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-2423

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 Gavin Henderson's NPI number?

The NPI number for Gavin Henderson is 1861693533. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Gavin Henderson located?

Gavin Henderson practices at 533 Parnassus Ave U-503, Box 0748, San Francisco, CA 94143. The listed phone number is (415) 476-1888.

What is Gavin Henderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Gavin Henderson enrolled in Medicare?

Yes. Gavin Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gavin Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gavin Henderson reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Gavin Henderson'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 Gavin Henderson was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.