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MALLORIE HENEGHAN MD
NPI 1477966927
Pediatrics - Pediatric Hematology-Oncology in Philadelphia, PA

Active since June 03, 2014PECOS Enrolled
3401 CIVIC CENTER BLVD, 9NW, ROOM 55, PHILADELPHIA, PA 19104(215) 590-1220 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Jul 20, 2021 (2 updates tracked since 2021).

About Mallorie Heneghan Md NPPES

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

MALLORIE HENEGHAN MD (NPI 1477966927) is an individual pediatric hematology-oncology provider in Philadelphia, Pennsylvania, licensed in Utah (11744120-1205) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477966927
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameMALLORIE HENEGHANCredential: MD
Location Address3401 CIVIC CENTER BLVD, 9NW, ROOM 55Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd, 9nw, Room 55Philadelphia, PA 19104-4319
Phone(215) 590-1220
Sole ProprietorNo
Enumeration DateJune 3, 2014
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1477966927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in UT · 11744120-1205
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License MT205738 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallorie Heneghan Md 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.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Mallorie Heneghan's NPI number?

The NPI number for Mallorie Heneghan is 1477966927. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Mallorie Heneghan located?

Mallorie Heneghan practices at 3401 Civic Center Blvd 9nw, Room 55, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Mallorie Heneghan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Mallorie Heneghan enrolled in Medicare?

Yes. Mallorie Heneghan is registered in the Medicare PECOS enrollment system.

What insurance does Mallorie Heneghan accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Mallorie Heneghan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallorie Heneghan was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.