NPIMap

Individual provider Active NPI

Stephanie Lynn Hennigan, MD

  • Rheumatology Physician
  • Rockwall, TX
National Provider Identifier
1528076940
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M9353 Issued in TX
Practice address
3140 Horizon Rd Ste 101
Rockwall, TX 75032-7805
Phone
(972) 664-0644
Fax
(972) 664-0301
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A96157 CA
Rheumatology Physician 207RR0500X M9353 TX Primary

Addresses

Primary practice location

3140 Horizon Rd Ste 101
Rockwall, TX 75032-7805

Mailing address

3140 Horizon Rd Ste 101
Rockwall, TX 75032-7805
Phone (972) 664-0644

Other identifiers 3

IdentifierTypeStateIssuer
194516401MedicaidTX
194516406MedicaidTX
194516402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000052 TX Practitioner - RheumatologyPractitioner - Internal Medicine 8921171349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates and SubsidiaryGroup PAC ID 5597718536, 23 clinicians

Practice addresses (Care Compare)

1001 N Waldrop Dr
Suite 816
Arlington, TX 76012-4715
Phone (214) 540-0700

2504 Ridge Rd
Suite 101
Rockwall, TX 75087-2570
Phone (214) 540-0700

4370 Medical Arts Dr
Suite 350
Flower Mound, TX 75028-1712
Phone (214) 540-0700

8144 Walnut Hill LN
Suite 800
Dallas, TX 75231-4345
Phone (214) 540-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96157CAMDRheumatology Physician
M9353TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates & Subsidiary Rheumatology CurrentSince Jan 1, 2019 Accepting new patients
Neurology Associates of Arlington, P.a. Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

1001 N Waldrop Dr
Ste 816
Arlington, TX 76012

5939 Harry Hines Blvd
Ste 400
Dallas, TX 75235
Phone (214) 645-2422

8144 Walnut Hill Ln
Ste 800
Dallas, TX 75231
Phone (214) 540-0623

4370 Medical Arts Dr
Ste 350
Flower Mound, TX 75028

3140 Horizon Rd
Ste 101
Rockwall, TX 75032
Phone (972) 772-5522

2504 Ridge Rd
Ste 101
Rockwall, TX 75087
Phone (972) 771-2018

Interoperability endpoints

  • Direct secure messaging: stephanie.hennigan@rheumassocdallas.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1528076940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327805",
            "telephone_number": "972-664-0644",
            "fax_number": "972-664-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327805",
            "telephone_number": "972-664-0644",
            "fax_number": "972-664-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A96157",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M9353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194516401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194516406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194516402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.