Stephen Hall Hennigan, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

E0104 Issued in AR

Practice address

4038 N Remington Dr Ste 4
Fayetteville, AR 72703-6314

Phone

(479) 444-6522

NPI assigned

Oct 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Infectious DiseaseAlso: Internal Medicine

Education

Louisiana State University School of Medicine in Shreveport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infectious Disease Specialists of Northwest ArkansasGroup PAC ID 8729062310, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
• Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Merit-based Incentive Payment System (MIPS)

Final score

97.97 of 100Reported as group

Quality

83.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shennigan46015@washingtonregional.direct-ci.com

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.

• Infectious Disease Specialists of Northwest Arkansas

  • Specialist
  • Fayetteville, AR
  • NPI 1558445080
  Medicare reassignment Care Compare group NPD Authorized official
• Northwest Arkansas Id Specialists PA

  • Specialist
  • Fayetteville, AR
  • NPI 1699632687
  Medicare reassignment NPD

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

• Mercy Hospital Rogers

  • General Acute Care Hospital
  • Rogers, AR
  • NPI 1316902414
  Care Compare affiliation
• Northwest Arkansas Hospitals, LLC

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation
• Washington Regional Medical Center

  • General Acute Care Hospital
  • Fayetteville, AR
  • NPI 1083609150
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386728996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036314",
            "telephone_number": "479-444-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036314",
            "telephone_number": "479-444-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "STEPHEN",
        "middle_name": "HALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E0104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "5J384",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianna Clo Hendrycy, PT
• Paul R Hendrycy, M.D.
• Christopher Noel Henley, M.D.
• Johnny Ray Henley, MD
• Cheryl W Hennigan, MD
• Henry Eye Clinic
• Adrienne Henry
• Hunter Kyle Henry, M.D.
• Jenny Pamela Henry, RN
• Lana B Henry, PHD, LPC

• Specialist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.