DR. SCOTT RANDALL HENNEMAN MD NPI 1013173814

NPI Information

  • NPI: 1013173814
  • Provider Name: DR. SCOTT RANDALL HENNEMAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1304 FAWCETT AVE STE 100
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 761-4200

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NPI Details

DR. Scott Randall Henneman, MD is a diagnostic radiology radiology in Tacoma, WA with 17 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Scott Randall Henneman, MD NPI is 1013173814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2008

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1013173814 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 7/31/2008 and was last updated on 8/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiologyMD60392348WASHINGTONNo
22085R0202XRadiologyDiagnostic RadiologyMD187713OREGONNo
32085N0700XRadiologyNeuroradiologyMD187713OREGONNo
42085R0202XRadiologyDiagnostic RadiologyMD60392348WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12029105MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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