COEUR OBSTETRICS AND GYNECOLOGY, PLLC
NPI 1730280744
Specialist in Coeur D Alene, ID
About Coeur Obstetrics And Gynecology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COEUR OBSTETRICS AND GYNECOLOGY, PLLC (NPI 1730280744), doing business as D. Anthony & R. Randel Henneberg, Ptr's, is a healthcare organization registered as a specialist in Coeur D Alene, Idaho and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028, maintains a secondary practice location in Coeur D' Alene, and lists Andrew Anthony Henneberg, Owner/md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coeur Obstetrics And Gynecology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Coeur Obstetrics And Gynecology, PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Coeur D Alene, ID 83814
Coeur D Alene, ID 83814
Coeur D Alene, ID 83814
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0699570
Coeur Obstetrics And Gynecology PLLC · Coeur D'alene, IDFrequently 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 Coeur Obstetrics And Gynecology, PLLC's NPI number?
The NPI number for Coeur Obstetrics And Gynecology, PLLC is 1730280744. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider was formerly known as D. Anthony & R. Randel Henneberg, Ptr's.
Where is Coeur Obstetrics And Gynecology, PLLC located?
Coeur Obstetrics And Gynecology, PLLC is located at 980 W Ironwood Dr Ste 201, Coeur D Alene, ID 83814. The listed phone number is (208) 765-4888.
What is Coeur Obstetrics And Gynecology, PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Coeur Obstetrics And Gynecology, PLLC enrolled in Medicare?
Yes. Coeur Obstetrics And Gynecology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coeur Obstetrics And Gynecology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Coeur Obstetrics And Gynecology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (4), Certified Nurse Midwife (CNM) (2) and Nurse Practitioner (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coeur Obstetrics And Gynecology, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0699570) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coeur Obstetrics And Gynecology, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Coeur Obstetrics And Gynecology, PLLC 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 Coeur Obstetrics And Gynecology, PLLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Coeur Obstetrics And Gynecology, Pllc · NPI 1730280744
Specialist organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1730280744 (Entity type: Organization)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Andrew Henneberg, OWNER/MD
## Practice location
- **Address:** 980 W IRONWOOD DR STE 201, Coeur D Alene, ID 83814-2668
- **Phone:** (208) 765-4888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (4), Certified Nurse Midwife (CNM) (2), Nurse Practitioner (1); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730280744) · Data from the CMS NPPES public registry.