Eden Christian Henry
NPI 1114509650ActiveIndividual· Pediatrics· Gallup, NM
Pediatrics in Gallup, New Mexico, licensed in FL, VT, CO and WY and other states, with an NPI issued in April 2021. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1114509650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 23, 2021 |
| Last updated in NPPES | Sep 29, 2025 |
| Certified by provider | Sep 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 175086 | FL |
| Pediatrics | 208000000X | 0420017989 | VT |
| Pediatrics | 208000000X | CDR.0005149 | CO |
| Pediatrics | 208000000X | TL8632 | WY |
| Pediatrics | 208000000X | V6597 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (FL); Practitioner - Pediatric Medicine (TX); Practitioner - Pediatric Medicine (WY) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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