Individual provider Active NPI

Chad N Heinen, M.D.

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1629001490
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-023108 Issued in LA
Practice address
2027 Saint Joseph Ave
Lake Charles, LA 70601-5006
Phone
(337) 515-0027
Fax
(888) 336-6084
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-3962 AR
Internal Medicine Physician 207R00000X MD-023108 LA Primary

Addresses

Primary practice location

2027 Saint Joseph Ave
Lake Charles, LA 70601-5006

Mailing address

2027 Saint Joseph Ave
Lake Charles, LA 70601-5006
Phone (337) 515-0027

Other identifiers 5

IdentifierTypeStateIssuer
601880900OtherARDEPARTMENT OF LABOR
710799061OtherARCIGNA
155103001MedicaidAR
5M807OtherARBLUE CROSS BLUE SHIELD
710799061OtherARTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050531000643 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9335138775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1615 Johnson St
Suite C
Jennings, LA 70546-3650

2027 Saint Joseph Ave
Lake Charles, LA 70601-5006

912 Bryan St
Cottonport, LA 71327-4288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-3962ARMDInternal Medicine Physician
MD-023108LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Martin Physician Services LLC CurrentSince Mar 4, 2013 Accepting new patients
Heinen Wellness LLC Internal Medicine Current Accepting new patients
Zebediah Stearns, MD Apmc Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1629001490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 SAINT JOSEPH AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015006",
            "telephone_number": "337-515-0027",
            "fax_number": "888-336-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 SAINT JOSEPH AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015006",
            "telephone_number": "337-515-0027",
            "fax_number": "888-336-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEN",
        "first_name": "CHAD",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-3962",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD-023108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "601880900",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "710799061",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155103001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5M807",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "710799061",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.