NPIMap

Individual provider Active NPI

John Philip Heffernan, M.D.

  • Urology Physician
  • Newport, RI
National Provider Identifier
1649243643
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD09513 Issued in RI
Practice address
38 Powel Ave
Newport, RI 02840-2655
Phone
(401) 847-2418
Fax
(401) 619-1028
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Spring Health Care Management Inc 136 clinicians

Practice addresses (Care Compare)

3461 S County TRL
201 SCMG Urology
East Greenwich, RI 02818-1463
Phone (401) 788-8780

38 Powel Ave
Newport, RI 02840-2655
Phone (401) 788-8780

70 Kenyon Ave
Suite 210
Wakefield, RI 02879-4253
Phone (401) 788-8780

Hospital & facility affiliations

  • South County Home Health Home health agency, Wakefield, RI, CCN 417023
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20101103001097 RI Practitioner - Urology 0143414136 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09513RIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Silver Spring Health Care Management, Inc. Urology CurrentSince Aug 1, 2018 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850

38 Powel Ave
Newport, RI 02840
Phone (401) 788-8780

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

70 Kenyon Ave
#322
Wakefield, RI 02879

70 Kenyon Ave
Ste 210
Wakefield, RI 02879
Phone (401) 788-8780

70 Kenyon Ave
Ste 22
Wakefield, RI 02879
Phone (401) 783-1896

120 Centerville Rd
Ste 3
Warwick, RI 02886
Phone (401) 284-1212

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD09513 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

38 Powel Ave
Newport, RI 02840-2655

Mailing address

38 Powel Ave
Newport, RI 02840-2655
Phone (401) 847-2418

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7006003MedicaidRI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2010.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1649243643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 POWEL AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402655",
            "telephone_number": "401-847-2418",
            "fax_number": "401-619-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 POWEL AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402655",
            "telephone_number": "401-847-2418",
            "fax_number": "401-619-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "MD09513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006003",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.