Individual provider Active NPI

Thomas W Heniff, M.D.

  • Emergency Medicine Physician
  • Lebanon, IN
National Provider Identifier
1174541189
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01042775A Issued in IN
Practice address
2605 N Lebanon St
Lebanon, IN 46052
Phone
(214) 506-2610
NPI assigned
Jul 17, 2006
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000586622OtherINANTHEM PROVIDER NUMBER FOR ARNETT CLINIC, LLC
200028480MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000304 IN Practitioner - Emergency Medicine 2567435498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042775AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Emergency Physicians, Inc Emergency Medicine CurrentSince Nov 1, 1982 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.

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

Sources for this page

Verify at the official NPI Registry.