DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) – Diagnostic Radiology Physician, NPI 1104262013

DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 274816 (MA). The NPI Number for DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) is 1104262013

Main info

Female
13 Years Of Experience
Name
DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.)
NPI
1104262013
Phone
(617) 355-6000
Address
300 Longwood Ave
Enumeration Date
18 May 2013
Last Update Date
5 June 2019

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
2039492700
Graduation Year
2013 (13 years ago)
PAC ID
0840525614
Group Practice PAC ID
4880593565
Professional Enrollment ID
I20220214001784
Address ID
CT064512101ME435XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.)

  • 300 Longwood Ave

    Boston, MA 02115

    Phone: (617) 355-6000

    Type: Location

  • 324 Gannett Dr Ste 200

    South Portland, ME 041063266

    Phone: (207) 482-7861

    Fax: (207) 956-6676

    Type: Location

  • 324 GANNETT DR STE 200

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7861

    Fax: (207) 956-6676

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 04102

    Phone: (207) 662-0111

    Fax: (207) 956-6676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-02-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220214001784IDiagnostic RadiologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77063Screening 3d breast mammography295295$0
77067Screening mammography295295$0
77080Dxa bone density measurement of hip, pelvis, spine152152$0
71046X-ray of chest, 2 views6060$0
71045X-ray of chest, 1 view5048$0
View full utilization report →

Insurance plans in this area (ZIP 02115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880593565View full group profile
NameSpecialtyState
Diagnostic RadiologyRI
Diagnostic RadiologyCT
-IL
Interventional Radiology, Diagnostic RadiologyCT
Diagnostic RadiologyMN
Diagnostic RadiologyMA
Physician AssistantCT
Diagnostic RadiologyCT
Diagnostic RadiologyCT
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

Can I verify DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) with an NPI only?
You can start verification with NPI 1104262013 for DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.), then check state licensing separately.
Is DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) still practicing?
DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) is currently listed as active in the public NPI registry.
What is DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) best known for clinically?
Directory data describes DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) on a map?
Expect Boston, Massachusetts as a primary anchor for DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) unless the record lists multiple sites.
Is the information about DR. KATHRYN JEANNE-HENAULT HEAPHY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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