Individual provider Active NPI

Henry Lepely, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1083643175
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0054943 Issued in FL
Practice address
4131 University Blvd S
BLDG 7
Jacksonville, FL 32216-4326
Phone
(904) 737-1300
Fax
(904) 737-9007
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0054943 FL Primary

Addresses

Primary practice location

4131 University Blvd S
BLDG 7
Jacksonville, FL 32216-4326

Mailing address

4131 University Blvd S
BLDG 7
Jacksonville, FL 32216-4326
Phone (904) 737-1300

Other identifiers 1

IdentifierTypeStateIssuer
048191200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120329000389 FL Practitioner - Psychiatry 9537329552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4131 University S Blvd
Suite 7
Jacksonville, FL 32216-4346
Phone (904) 737-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54943FLMDPharmacist
ME0054943FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Behavioral Health Services, Inc. CurrentSince Jun 10, 2019 Accepting new patients
Henry Lepely MD PA Psychiatry CurrentSince Jan 28, 2012 Accepting new patients

Locations

15891 County Road 108
Hilliard, FL 32046
Phone (904) 675-9140

4131 University Blvd S
Ste 7
Jacksonville, FL 32216
Phone (904) 737-1300

2392 Edgewood Ave N
Jacksonville, FL 32254

Organizations & group practices 2

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1083643175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S",
            "address_2": "BLDG 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164326",
            "telephone_number": "904-737-1300",
            "fax_number": "904-737-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S",
            "address_2": "BLDG 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164326",
            "telephone_number": "904-737-1300",
            "fax_number": "904-737-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPELY",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0054943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048191200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.