Individual provider Active NPI

Emily Nicole Heronemus, DO

  • Sports Medicine (Family Medicine) Physician
  • Lawrence, KS
National Provider Identifier
1043624349
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
05-39711 Issued in KS
Practice address
6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049
Phone
(785) 843-9125
Fax
(785) 505-5312
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 05-39711 KS Primary

Addresses

Primary practice location

6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 60444
Phone (785) 843-9125

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.heronemus@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913000755 KS Practitioner - Sports Medicine 4587880216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049-5232
Phone (785) 843-9125

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-39711KSMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC Current Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

Interoperability endpoints

  • Direct secure messaging: emily.heronemus@direct.lmh.org

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1043624349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "60444",
            "telephone_number": "785-843-9125",
            "fax_number": "785-505-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR",
            "address_2": "SUITE 1500",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-843-9125",
            "fax_number": "785-505-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERONEMUS",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "05-39711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.heronemus@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6265 Rock Chalk Dr",
            "address_2": "Suite 1500",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.