DR. SHADY HENIEN (M.D.) – Interventional Cardiology Physician, NPI 1760820930
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
46 INTERVENTIONAL CARDIOLOGY in RI
Provider Addresses for DR. SHADY HENIEN (M.D.)
129 E REDSTONE AVE
STE A
CRESTVIEW, FL 325395350
Phone: (217) 492-9115
Fax: (217) 522-1206
Type: Mailing
593 Eddy St
APC814
Providence, RI 029034923
Phone: (401) 444-8689
Type: Location
800 E CARPENTER ST # 62
SPRINGFIELD, IL 627691000
Phone: (217) 492-9115
Fax: (217) 522-1206
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $7,583.
Total Amount is formed as General ($7,583) + Research ($0) + Ownership ($0) = $7,583.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Penumbra, Inc. ($2,596).
Total Amount
$7,583
General + Research + Ownership
Payments
115
Total payment records
General Amount
$7,583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $2,596 |
| Inari Medical, Inc. | $754 |
| Becton, Dickinson and Company | $719 |
| W. L. Gore & Associates, Inc. | $538 |
| Boston Scientific Corporation | $315 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210903000671 | I | Interventional Cardiology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2,017 | 969 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1,660 | 1,622 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 677 | 604 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 416 | 104 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 308 | 308 | $0 |
Insurance plans in this area (ZIP 32539)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | OH | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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