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KENNETH HEINRICH M.D. NPI 1891711743


NPI Information

NPI: 1891711743
Provider Name: KENNETH HEINRICH, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3249 OAK PARK AVE
BERWYN, IL
ZIP 60402
Phone: (708) 783-9100
Get Directions

Kenneth Heinrich, M.D. is an emergency medicine in Berwyn, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Kenneth Heinrich, M.D. NPI is 1891711743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3249 OAK PARK AVE
BERWYN, IL
ZIP 60402-429
Phone: (708) 783-9100

The NPI 1891711743 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 enumeration date for this NPI number is 7/14/2006 and was last updated on 2/6/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine46549TENNESSEENo
2207P00000XEmergency Medicine0101248860VIRGINIANo
3207P00000XEmergency Medicine35.093955OHIONo
4207P00000XEmergency Medicine4301094015MICHIGANNo
5207P00000XEmergency Medicine4845120WISCONSINNo
6207P00000XEmergency Medicine2009010649MISSOURINo
7207P00000XEmergency Medicine38590IOWANo
8207P00000XEmergency Medicine036-110486ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891711743MEDICAIDVIRGINIA
2IL1943005MEDICARE PINILLINOIS
3103I939037MEDICARE PINTENNESSEE
4K07771MEDICARE PINILLINOIS
57100112540MEDICAIDKENTUCKY
61891711743MEDICAIDMISSOURI
71891711743MEDICAIDWISCONSIN
8207236008MEDICARE PINILLINOIS
9206813006MEDICARE PINILLINOIS
10P01731341OTHERVIRGINIARAILROAD MEDICARE
111891711743OTHERIOWABLUE SHIELD
12HE4269781MEDICARE PINOHIO
13147400024MEDICARE PINMISSOURI
14K07800MEDICARE PINILLINOIS
15018050022MEDICARE PINWISCONSIN
16036110486OTHERILLINOISBLUE SHIELD
171521933MEDICAIDTENNESSEE
18MI1609036MEDICARE PINMICHIGAN
19IB1436007MEDICARE PINIOWA
20HE4269782MEDICARE PINOHIO
21036110486-3MEDICAIDILLINOIS
22036110486-6MEDICAIDILLINOIS
23IL1682027MEDICARE PINILLINOIS
24VV1966BMEDICARE PINVIRGINIA
25I09410MEDICARE UPIN
26036110486-5MEDICAIDILLINOIS
27036110486-7MEDICAIDILLINOIS
28036110486MEDICAIDILLINOIS
291891711743MEDICAIDMICHIGAN
30036110486-9MEDICAIDILLINOIS
31567730013MEDICARE PINILLINOIS
32029050144MEDICARE PINWISCONSIN
332976472MEDICAIDOHIO
34036110486-8MEDICAIDILLINOIS
351891711743MEDICAIDIOWA
36147480021MEDICARE PINMISSOURI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.