Active NPI
Sean Matthew Henning, D.P.M.
- Podiatrist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000915A
- Practice address
- 2310 California Rd
Elkhart, IN 46514-1228 - Phone
- (574) 264-0791
- Fax
- (574) 262-5183
- NPI assigned
- Jul 24, 2006
- Last updated
- Feb 2, 2010
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000915A | IN | Primary |
Addresses
Primary practice location
2310 California Rd
Elkhart, IN 46514-1228
Mailing address
2310 California Rd
Elkhart, IN 46514-1228
Phone (574) 264-0791
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480031993 | Other | IN | PALMETTO GBA-RAILROAD MEDICARE |
| 200450180 | 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 California Rd
Elkhart, IN 46514-1228
Phone (574) 264-0791
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.85 of 100
- Quality
- 59.71
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 88.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 80 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 87 |
| Removal or shaving of skin growth | 18 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000915A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ASC Surgical Ventures, LLC | Past | Accepting new patients |
Interoperability endpoints
- sean.henning@direct.osmc.nextgenshare.com
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 Osmc
- Orthopaedic Surgery Physician
- Elkhart, IN
- NPI 1710085253
-
dba OSMC Outpatient Surgery Center
- Ambulatory Surgical Clinic/Center
- Elkhart, IN
- NPI 1083715148
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1457373979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 CALIFORNIA RD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141228",
"telephone_number": "574-264-0791",
"fax_number": "574-262-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 CALIFORNIA RD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141228",
"telephone_number": "574-264-0791",
"fax_number": "574-262-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "SEAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000915A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD MEDICARE",
"identifier": "480031993",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200450180",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
- Pleas V. Henderson Jr., CRNA
- Hendricks Chiropractic PC (Amberwood Terrace Chiropractic)
- Hendricks County Hospital (Brickyard Healthcare - Elkhart Care Center)
- Derrick R Hendricks, D.C.
- Mary G Henehan, LCSW
- Paige Henry
- Tina Hepworth, MSW
- Sharlene D. Herington, RD,CD
- Marlene I Hernandez-Correa
- Abigael Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.