DR. JOSEPH HENEGHAN MD
NPI 1093083669
Internal Medicine in Prairieville, LA

Q: What is Joseph Heneghan's NPI number?

The NPI number for Joseph Heneghan is 1093083669. It was assigned to this individual provider in the NPPES registry on December 9, 2011.

Q: What is Joseph Heneghan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Heneghan was last updated on November 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 09, 2011PECOS EnrolledAccepts Medicare Assignment

16220 AIRLINE HWY, PRAIRIEVILLE, LA 70769(225) 761-5200 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2024, Dec 9, 2022, Oct 22, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Joseph Heneghan Md NPPES

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

DR. JOSEPH HENEGHAN MD (NPI 1093083669) is an individual internal medicine provider in Prairieville, Louisiana, licensed in Louisiana (207040) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and maintains a secondary practice location in Livingston.

NPPES Registry Identity

NPI1093083669

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JOSEPH HENEGHANCredential: MD

Location Address16220 AIRLINE HWYPrairieville, LA 70769-4248

Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000

Phone(225) 761-5200

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2011

Enumeration DateDecember 9, 2011

Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1093083669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in LA · 207040✔ Licensed in AL · L.3562R

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

16220 AIRLINE HWY, Prairieville, LA 70769

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Secondary Practice Location 1

Location 117199 Spring Ranch RdLivingston, LA 70754-2900 · Phone (225) 686-4930 · Fax (225) 686-4931

Other Identifiers 2

Medicaid2372734LA

MedicaidR11004AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Heneghan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224276126

PECOS Enrollment IDI20141013000237

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

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.

97 services41 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190202

Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70769 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

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Other Providers at the Same Location NPPES 5

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

ALLISON ENGLE LEBLANC PA

Physician Assistant (Medical)