Dr. Donna Heffernan M.D.
About this NPIWhat this record shows.
NPI 1003842287 is registered to Dr. Donna Heffernan M.D., a Family Medicine practising at 63 East Rd in Troy, New York. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Donna Heffernan M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 000404017001NY· Issued by HIGHMARK
- 394892NY· Issued by MVP
- 1003842287NY· Issued by HUMANA
- 200048NY· Issued by SENIOR WHOLE HEALTH
- 74563NY· Issued by GHI/HMO
- 000404017001NY· Issued by BSNENY
- 0007309558NY· Issued by AETNA
- 1003842287NY· Issued by TRICARE
- 10072104NY· Issued by CDPHP
- 7309558NY· Issued by AETNA
- 5191C1NY· Issued by EMPIRE BC
Medicaid
- 02425056NY
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20091005000018Family PracticeNY
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Donna Heffernan M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Donna Heffernan M.D. directly at (518) 346-3100.
Frequently asked
Yes. NPI 1003842287 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (518) 346-3100.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Donna Heffernan M.D. is a Type-1 individual NPI.