Individual provider Active NPI

Joseph Nicholas Heinen Sr., M.D.

  • Family Medicine Physician
  • Eunice, LA
National Provider Identifier
1316188386
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.204399 Issued in LA
Practice address
151 Leon Ave
Suite B
Eunice, LA 70535-3917
Phone
(337) 290-0199
NPI assigned
Mar 20, 2009
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.204399 LA Primary

Addresses

Primary practice location

151 Leon Ave
Suite B
Eunice, LA 70535-3917

Mailing address

151 Leon Ave
Suite B
Eunice, LA 70535-3917
Phone (337) 290-0199

Other identifiers 1

IdentifierTypeStateIssuer
1988537MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120921000695 LA Practitioner - Family Practice 2163670852 Reassigns benefits to 1 organization
I20260129003894 TX Practitioner - Family Practice 2163670852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13515 Sundance Scape
San Antonio, TX 78245-3444

597 Tunica Dr W
Marksville, LA 71351-2628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204399LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian N. Heinen, MD Apmc Family Medicine CurrentSince Jul 18, 2012 Accepting new patients
Tunica Biloxi Tribe of Louisiana Tribal Office CurrentSince Jan 1, 2026 Accepting new patients
Tunica- Biloxi Tribe of Louisiana Tribal Office CurrentSince Jan 1, 2026 Accepting new patients
Southside Family Clinic LLC PastSince May 25, 2017 Accepting new patients

Locations

151 Leon Ave
Eunice, LA 70535
Phone (337) 457-8166

151 Leon Ave
Ste B
Eunice, LA 70535
Phone (337) 457-8166

171 Melancon Rd
Marksville, LA 71351
Phone (318) 240-6435

597 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-0677

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southside Family Clinic LLCAbbeville, LA, CCN 193934 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
General Partnership Interest (50%)
Corporate Officer (100%)
Operational/Managerial Control (100%)
Jul 28, 2017
Jul 28, 2017
Jul 28, 2017
Jul 28, 2017
Delcambre Family ClinicDelcambre, LA, CCN 198904 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
General Partnership Interest (50%)
Corporate Officer (5%)
Operational/Managerial Control (50%)
Jul 28, 2017
Jul 28, 2017
Jul 28, 2017
Jul 28, 2017
Arnaudville Family ClinicArnaudville, LA, CCN 198930 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
General Partnership Interest (50%)
Corporate Officer (50%)
Operational/Managerial Control (50%)
May 25, 2017
May 25, 2017
May 25, 2017
May 25, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1316188386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LEON AVE",
            "address_2": "SUITE B",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353917",
            "telephone_number": "337-290-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LEON AVE",
            "address_2": "SUITE B",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353917",
            "telephone_number": "337-290-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEN",
        "first_name": "JOSEPH",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.204399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1988537",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.