Kennedy Iheanacho, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

335569 Issued in LA

Practice address

200 High Park Ave
Goshen, IN 46526-4810

Phone

(574) 364-2888

Fax

(574) 364-2590

NPI assigned

Apr 5, 2017

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Hematology/Oncology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abbeville General HospitalGroup PAC ID 8325933872, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034
• Abrom Kaplan Memorial Hospital Hospital, Kaplan, LA, CCN 191322
• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Abbeville General Hospital

  • Clinic/Center
  • Abbeville, LA
  • NPI 1285779363
  Medicare reassignment Care Compare group

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

• Abbeville General Hospital

  • Rural Acute Care Hospital
  • Abbeville, LA
  • NPI 1255300414
  Care Compare affiliation
• Kaplan General Hospital, Inc.

  • Critical Access Hospital
  • Kaplan, LA
  • NPI 1245617562
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1174056329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH PARK AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264810",
            "telephone_number": "574-364-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH PARK AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264810",
            "telephone_number": "574-364-2888",
            "fax_number": "574-364-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEANACHO",
        "first_name": "KENNEDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "335569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Rae Houser, MSW, LCSW
• Christina Marie Hughes, RRT
• Kiley Hutton
• Cassandra Lian Huys
• Melissa Hyselll
• Inner Sanctum Counseling
• Inner Sanctum Counseling LLC (Inner Sanctum Counseling)
• Inside Track Physical Therapy & Wellness
• Shumaila Muhammad Iqbal
• Hassan Ishaq

• Hematology & Oncology Physician in Goshen, IN
• Providers in Goshen, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.