Active NPI
Thomas W Heniff, M.D.
- Emergency Medicine Physician
- Lebanon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01042775A
- Practice address
- 2605 N Lebanon St
Lebanon, IN 46052 - Phone
- (214) 506-2610
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01042775A | IN | Primary |
Addresses
Primary practice location
2605 N Lebanon St
Lebanon, IN 46052
Mailing address
4835 LBJ Fwy
Dallas, TX 75244-6005
Other practice location 1
6085 Heartland Dr
Zionsville, IN 46077-4432
Phone (214) 506-2610
Other practice location 2
150 W Washington St
Shelbyville, IN 46176-1236
Phone (214) 506-2610
Other practice location 3
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (214) 506-2610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000586622 | Other | IN | ANTHEM PROVIDER NUMBER FOR ARNETT CLINIC, LLC |
| 200028480 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042775A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858
2400 South St
Lafayette, IN 47904
Phone (765) 447-6811
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
6085 Heartland Dr
Zionsville, IN 46077
Phone (317) 768-2100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Boone County Emergency Medicine
- Emergency Medicine Physician
- Lebanon, IN
- NPI 1891741641
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1174541189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 LBJ FWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 N LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "46052",
"telephone_number": "214-506-2610"
}
],
"practiceLocations": [
{
"address_1": "6085 Heartland Dr",
"address_purpose": "LOCATION",
"city": "Zionsville",
"state": "IN",
"postal_code": "460774432",
"country_code": "US",
"telephone_number": "214-506-2610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 W Washington St",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IN",
"postal_code": "461761236",
"country_code": "US",
"telephone_number": "214-506-2610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2451 Intelliplex Dr",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IN",
"postal_code": "461768580",
"country_code": "US",
"telephone_number": "214-506-2610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENIFF",
"first_name": "THOMAS",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01042775A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER FOR ARNETT CLINIC, LLC",
"identifier": "000000586622",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200028480",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, IN
- Nyquelia Headen, RBT
- Cody Lee Hedrick
- Brandon J Heeger, DO
- Nicholas Helderman, OD
- Hendricks County Hospital (The Waters of Lebanon)
- Heritage Home Health Services of Indiana LLC
- Heritage Home Health Services of Indiana LLC (.Excel Home Health Care, LLC)
- Heritage Senior Care LLC
- Raegan N Hiatt, RBT
- Hickory Creek Healthcare Foundation, Inc. (Hickory Creek at Lebanon)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.