Individual provider Active NPI

Kathryn Jeanne-Henault Heaphy, M.D.

  • Diagnostic Radiology Physician
  • Portland, ME
National Provider Identifier
1104262013
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD22806 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102
Phone
(207) 662-0111
Fax
(207) 956-6676
NPI assigned
May 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 274816 MA
Diagnostic Radiology Physician 2085R0202X MD22806 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7861

Other practice location 1

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-6000

Other practice location 2

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-6000

Other practice location 3

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7861

Other identifiers 1

IdentifierTypeStateIssuer
1104262013MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220214001784 CT Practitioner - Diagnostic Radiology 0840525614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

Practice addresses (Care Compare)

300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 258-3480

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

863 N Main St Ext
Wallingford, CT 06492-2434

Hospital & facility affiliations

  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as group
Quality
90.49
Promoting interoperability
100
Improvement activities
40
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274816MAMDDiagnostic Radiology Physician
MD22806MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Starling Physicians, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2023 Accepting new patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492

1210 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 721-5731

Interoperability endpoints

  • Direct secure messaging: kathryn.heaphy@xdr.hhchealthdirect.org

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 8

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": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1104262013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7861",
            "fax_number": "207-956-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-0111",
            "fax_number": "207-956-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02115",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02115",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 Gannett Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041063266",
            "country_code": "US",
            "telephone_number": "207-482-7861",
            "fax_number": "207-956-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAPHY",
        "first_name": "KATHRYN",
        "middle_name": "JEANNE-HENAULT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-18",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "274816",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD22806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104262013",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.