Individual provider Active NPI

Henry Matthew Vanpala, NP

  • Adult Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1023518339
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5010294 Issued in NC
Practice address
1631 Midtown PL Ste 101
Raleigh, NC 27609-1300
Phone
(919) 977-1675
NPI assigned
Feb 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 5010294 NC Primary

Addresses

Primary practice location

1631 Midtown PL Ste 101
Raleigh, NC 27609-1300

Mailing address

1631 Midtown PL Ste 101
Raleigh, NC 27609-1300
Phone (919) 977-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181203000043 NC Practitioner - Nurse Practitioner 7113261199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Hills Internal and Integrative Medicine, PAGroup PAC ID 7618194226, 3 clinicians

Practice addresses (Care Compare)

1631 Midtown PL
Suite 101
Raleigh, NC 27609-1300
Phone (919) 977-1675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010294NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Internal & Integrative Medicine, PA Multi-Specialty CurrentSince Sep 8, 2018 Accepting new patients

Locations

1631 Midtown Pl
Ste 101
Raleigh, NC 27609
Phone (919) 954-1404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9096/brand/1/csg/1/fhir/r4
  • Direct secure messaging: henry.vanpala.2@9096.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1023518339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "919-977-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "919-977-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANPALA",
        "first_name": "HENRY",
        "middle_name": "MATTHEW",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5010294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.