Dr. John Tyler Henderson, MD
Hospitalist in Lexington, KY. Individual provider (NPI-1).
NPI number1245980697
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1245980697
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Tyler Henderson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2022
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 61906 | KY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
900 S. Limestone, Ctw 304Lexington, KY 40536-0293
Phone 859-323-6561
Mailing address
900 S Limestone Ctw 304Lexington, KY 40536-0293
Other practice locations
800 Rose St
Lexington, KY 40536-0293
Lexington, KY 40536-0293
Phone 859-323-6047
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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