Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shady Henien, MD

Individual provider Cardiovascular Disease Physician · NPI 1760820930

Dr. Shady Henien, MD is an Interventional Cardiology in Springfield, Illinois. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2013, 13 years ago. Practices with Okaloosa Cardiology PA, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Rhode Island.

Years since qualifying
13
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IL, RI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 E Carpenter St # 62
Springfield, IL 62769-1000
Phone: (217) 492-9115
Fax: (217) 522-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-8689

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036151656 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD15478 (RI)

Record details

NPI number1760820930
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2013
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021
Mailing address129 E Redstone Ave, Ste A, Crestview, FL 32539-5350

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Okaloosa Cardiology Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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