KENNEDY IHEANACHO MD
NPI 1174056329
Internal Medicine - Hematology & Oncology in Goshen, IN

Q: What is Kennedy Iheanacho's NPI number?

The NPI number for Kennedy Iheanacho is 1174056329. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Q: What is Kennedy Iheanacho's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Iheanacho was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 05, 2017PECOS EnrolledAccepts Medicare Assignment

200 HIGH PARK AVE, GOSHEN, IN 46526(574) 364-2888(574) 364-2590 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2023, May 20, 2023 (2 updates tracked since 2023).

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About Kennedy Iheanacho Md NPPES

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

KENNEDY IHEANACHO MD (NPI 1174056329) is an individual hematology & oncology provider in Goshen, Indiana, licensed in Louisiana (335569) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1174056329

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameKENNEDY IHEANACHOCredential: MD

Location Address200 HIGH PARK AVEGoshen, IN 46526-4810

Mailing Address200 High Park AveGoshen, IN 46526-4810 · (574) 364-2888

Phone(574) 364-2888

Fax(574) 364-2590

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2017

Enumeration DateApril 5, 2017

Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1174056329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in LA · 335569

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

200 HIGH PARK AVE, Goshen, IN 46526

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, 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

Kennedy Iheanacho 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 ID9032583331

PECOS Enrollment IDI20230329000421

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 5

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.

55 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services24 patients

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

36 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190002

Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County

Emergency services Birthing friendly

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190034

Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County

Emergency services Birthing friendly

Abrom Kaplan Memorial Hospital

Critical Access Hospitals · Kaplan, LA

OwnershipVoluntary non-profit - Private

CMS Certification Number191322

Location1310 West Seventh StreetKaplan, LA 70548 · Vermilion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

JOHNATHON THOMAS CLIFTON

Physician Assistant