Active NPI
Chad N Heinen, M.D.
- Internal Medicine Physician
- Lake Charles, LA
National Provider Identifier
1629001490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-023108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601880900 | Other | AR | DEPARTMENT OF LABOR |
| 710799061 | Other | AR | CIGNA |
| 155103001 | Medicaid | AR | |
| 5M807 | Other | AR | BLUE CROSS BLUE SHIELD |
| 710799061 | Other | AR | TRICARE |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-3962 | AR | MD | Internal Medicine Physician |
| MD-023108 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Martin Physician Services LLC | Current | 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.
-
- Hospitalist Physician
- Breaux Bridge, LA
- NPI 1528312584
-
- Internal Medicine Physician
- Jennings, LA
- NPI 1871424457
-
- General Practice Physician
- Eunice, LA
- NPI 1851589345
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.