NPIMap

Individual provider Active NPI

Michael A. Hennigan, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairhope, AL
National Provider Identifier
1003971839
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
00014952 Issued in AL
Practice address
3 Medical Park
Fairhope, AL 36532-1804
Phone
(251) 929-3424
Fax
(251) 279-3931
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME133406 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 173573 AK
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 00014952 AL Primary

Addresses

Primary practice location

3 Medical Park
Fairhope, AL 36532-1804

Mailing address

3 Medical Park
Fairhope, AL 36532-1804
Phone (251) 929-4324

Other identifiers 4

IdentifierTypeStateIssuer
000081181OtherALBCBS OF AL PROVIDER NUMBE
022091600MedicaidFL
000081181MedicaidAL
529910470MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, AK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101020000078 AL Practitioner - EndocrinologyPractitioner - Internal Medicine 3971405135 Reassigns benefits to 1 organization
I20171003005108 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 3971405135
I20211217001923 AK Practitioner - Internal Medicine 3971405135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of South Alabama College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

3 Medical Park
Fairhope, AL 36532-1804
Phone (251) 928-8804

Hospital & facility affiliations

  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00014952ALMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Oct 27, 2021 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Oct 27, 2021 Accepting new patients
Imc-Eastern Shore Adult Medicine, LLC CurrentSince Dec 1, 2023 Accepting new patients
Michael a. Henngian, M.D., P.C Endocrinology, Diabetes & Metabolism PastSince Oct 1, 1989 Accepting new patients

Locations

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310

300 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-9560

3 Medical Park
Fairhope, AL 36532
Phone (251) 928-8804

300 Greeno Rd S
#B
Fairhope, AL 36532
Phone (251) 929-3424

3 Medical Park Dr
Fairhope, AL 36532
Phone (251) 928-8804

Interoperability endpoints

  • Direct secure messaging: mhennigan188297@directinfirmaryhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAACCD
  • Direct secure messaging: michael.hennigan.1@14977.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1003971839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-929-4324",
            "fax_number": "251-279-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-929-3424",
            "fax_number": "251-279-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME133406",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AK",
            "license": "173573",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "00014952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROVIDER NUMBE",
            "identifier": "000081181",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022091600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000081181",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529910470",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.