MICHAEL JAMES HENEHAN DO
NPI 1053497685
Family Medicine in San Jose, CA

Q: What is Michael Henehan's NPI number?

The NPI number for Michael Henehan is 1053497685. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Michael Henehan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Henehan was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2006PECOS Enrolled

455 OCONNOR DR, STE 210, SAN JOSE, CA 95128(408) 995-5453(408) 275-9442 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael James Henehan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JAMES HENEHAN DO (NPI 1053497685) is an individual family medicine provider in San Jose, California, licensed in California (20A4724) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053497685

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL JAMES HENEHANCredential: DO

Location Address455 OCONNOR DR, STE 210San Jose, CA 95128-1633

Mailing Address455 Oconnor Dr, Ste 210San Jose, CA 95128-1633 · (408) 995-5453 · Fax (408) 275-9442

Phone(408) 995-5453

Fax(408) 275-9442

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1053497685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A4724

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 20A4724 (CA)

455 OCONNOR DR, San Jose, CA 95128

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael James Henehan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

106 services70 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIS CHUNG, MD, INC.

Family Medicine (Sports Medicine)

455 OCONNOR DR, #150
SAN JOSE, CA 95128

Santa Clara County (408) 293-7767

DR. AMY G WATSON MD

Family Medicine

455 OCONNOR DR, SUITE 200
SAN JOSE, CA 95128

Santa Clara County (408) 283-7676

ANNIE BERTHA-CHAO CHERN M.D.

Family Medicine

455 OCONNOR DR, SUITE 210
SAN JOSE, CA 95128

Santa Clara County (408) 995-5453

AESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC.

Specialist

455 OCONNOR DR, SUITE 180B
SAN JOSE, CA 95128

Santa Clara County (408) 998-8109

DR. DALJEET RAI M.D.

Family Medicine

455 OCONNOR DR, STE 210
SAN JOSE, CA 95128

Santa Clara County (408) 995-5453

RICHARD IAN ROSS

Emergency Medicine

455 OCONNOR DR, SUITE 250
SAN JOSE, CA 95128

Santa Clara County (408) 283-7767

ROBERT MICHAEL NORMAN M.D.

Family Medicine

455 OCONNOR DR, STE210
SAN JOSE, CA 95128

Santa Clara County (408) 995-5453

DR. DAVID SHIN M.D.

Family Medicine (Sports Medicine)

455 OCONNOR DR, SUITE 250
SAN JOSE, CA 95128

Santa Clara County (408) 283-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Henehan's NPI number?

The NPI number for Michael Henehan is 1053497685. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Michael Henehan located?

Michael Henehan practices at 455 Oconnor Dr Ste 210, San Jose, CA 95128. The listed phone number is (408) 995-5453.

What is Michael Henehan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Henehan enrolled in Medicare?

Yes. Michael Henehan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Henehan was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.