P Praxis·MD
● Active Type 1 · Individual

Rachel Elizabeth Heneghan, MD

Surgery·Boise, ID· NPI 1730448176 · Enumerated 2012 · 14 years on NPI
Heneghan is 1 of 63 surgery providers in Boise and 1 of 260 in Idaho.
NPI age
14 years
Enumerated 2012-05-04
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
ID, MN, IN
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
3 states
Top 71% — 28% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
333 N 1st St Ste 280
Boise, ID 837026132
📞 2083456545fax 2083451213
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
8075 N Shadeland Ave Ste 200
Indianapolis, IN 462502694
📞 3176218500

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #M-17496MN license #63855 taxonomy 208600000X
  • Thoracic Surgery (Cardiothoracic Vascular Surgery)
    A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall,...
    IN license #01086105A taxonomy 208G00000X

Identifiers

TypeValueNotes
05 (ID) M-17496
05 (IN) 300053478
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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