NPIMap

Organization Active NPI

Lafayette Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Lebanon, IN
National Provider Identifier
1891741641
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
LAFAYETTE EMERGENCY PHYSICIANS, INC
Practice address
2605 N Lebanon St
Lebanon, IN 46052
Phone
(214) 506-2610
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Thomas Heniff, M.D.NPI 1174541189
Title
President
Phone
(765) 447-6811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

2605 N Lebanon St
Lebanon, IN 46052

Mailing address

PO Box 2306
Indianapolis, IN 46206-2306
Phone (469) 420-5527

Other practice location 1

6085 Heartland Dr
Zionsville, IN 46077-4432
Phone (214) 506-2610

Other practice location 2

150 W Washington St
Shelbyville, IN 46176-1236
Phone (214) 506-2610

Other practice location 3

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (214) 506-2610

Other identifiers 2

IdentifierTypeStateIssuer
CN1219OtherINRAILROAD
100464230MedicaidIN

Other names 1

  • Boone County Emergency Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000317 IN Part B Supplier - Clinic/Group Practice 9931172863 Receives reassigned benefits from 71 practitioners
Practice locations: Franklin, IN; Lafayette, IN; Lebanon, IN; Shelbyville, IN; Zionsville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 103

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1891741641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2306",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062306",
            "telephone_number": "469-420-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "46052",
            "telephone_number": "214-506-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6085 Heartland Dr",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460774432",
            "country_code": "US",
            "telephone_number": "214-506-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461761236",
            "country_code": "US",
            "telephone_number": "214-506-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768580",
            "country_code": "US",
            "telephone_number": "214-506-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAFAYETTE EMERGENCY PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "HENIFF",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-447-6811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CN1219",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boone County Emergency Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boone County Emergency Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.