Daryl Henderson, MD

NPI: 1093717001

Daryl Henderson, MD

Q: What is Daryl Henderson's NPI number?

Daryl Henderson's NPI number is 1093717001, a unique 10-digit identifier issued by CMS.

Q: What does Daryl Henderson specialize in?

Daryl Henderson specializes in Radiology, taxonomy code 2085R0202X.

Q: Where does Daryl Henderson practice?

Daryl Henderson practices in Eden Prairie, MN 55344-5349.

Q: When was Daryl Henderson's NPI issued?

Daryl Henderson's NPI was issued on August 10, 2005.

Q: What is Daryl Henderson's provider type?

Daryl Henderson is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderRadiology

NPI issued: August 10, 2005

Quick Facts

NPI Number

1093717001

TypeIndividual

StatusActive

SpecialtyRadiology

Taxonomy2085R0202X — Radiology

Phone

(952) 595-1100

StateMN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1093717001)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 10, 2005)

Data source: CMS NPPES

Provider Overview

DARYL HENDERSON, MD is a Radiology provider based in Eden Prairie, MN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1093717001

Provider TypeIndividual Provider

GenderMale

CredentialMD

StatusActive

Enumeration DateAugust 10, 2005

Practice Location

CityEden Prairie

StateMN

ZIP Code55344-5349

Phone(952) 595-1100

Specialties & Licenses

★ Primary

SpecialtyRadiology

Taxonomy Code2085R0202X

License StateMN

Mailing Address

CityEden Prairie

StateMN

ZIP Code55344-5349

Phone(952) 595-1100

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1093717001 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1093717001for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1093717001 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Radiology

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