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NPISignal

Individual Healthcare Provider

John Charles Hennessey, M.D.

NPI Record: ActiveSurgery — Vascular Surgery
NPI1528898038
Saint Paul, Minnesota

Provider's NPPES record last updated: April 23, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1528898038
Primary Specialty
Surgery — Vascular Surgery
Practice Location
Saint Paul, Minnesota
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 12:40 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Vascular Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

    Taxonomy code 2086S0129X

Provider-Reported License Information

Surgery (Minnesota)
78317
Surgery (New York)
333269
Surgery (Wisconsin)
85238-20
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

401 Phalen Blvd

Healthpartners Specialty Center - Vascular Surgery 4th

Saint Paul, Minnesota 55130-5302

Phone: (952) 967-7977

Additional Practice Location

15350 English Ave

Apple Valley, Minnesota 55124-6252

Phone: (952) 967-7250

Record Information

Enumeration Date
August 7, 2024
Provider's NPPES Record Last Updated
April 23, 2025
Certification Date
April 23, 2025
NPISignal NPPES Dataset
August 2026

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