Individual provider Active NPI

Himanshu Ramesh Kenjale, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1538393640
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01532 Issued in NC
Practice address
115 Kildaire Park Dr Ste 205
Cary, NC 27518-8144
Phone
(919) 787-7246
Fax
(919) 787-7247
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01532 NC Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 205
Cary, NC 27518-8144

Mailing address

3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Phone (919) 787-7246

Other practice location 1

1120 SE Cary Pkwy Ste 100
Cary, NC 27518-7413
Phone (919) 467-4992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkenjale178314@direct.UNC.nchie.net Direct

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
I20090701000117 NC Practitioner - Physician Assistant 3375694458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

101 Lattner CT
Morrisville, NC 27560-9584

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

1110 SE Cary Pkwy
Suite 208
Cary, NC 27518-7435
Phone (919) 573-4828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
76.58
Promoting interoperability
100
Improvement activities
40
Cost
78.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Spine & Pain Specialists PC CurrentSince Oct 3, 2011 Accepting new patients
Wake Spine and Pain Specialists, PC CurrentSince Oct 3, 2011 Accepting new patients
Unc Physicians Group Practices II, LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

1120 SE Cary Pkwy
Ste 100
Cary, NC 27518
Phone (919) 467-4992

115 Kildaire Park Dr
Ste 205
Cary, NC 27518

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

101 Lattner Ct
Ste 300
Morrisville, NC 27560
Phone (919) 238-2400

3801 Wake Forest Rd
Ste 210
Raleigh, NC 27609
Phone (919) 737-2034

3001 Edwards Mill Rd
Ste 203
Raleigh, NC 27612

Interoperability endpoints

  • Direct secure messaging: hkenjale178314@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1538393640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WAKE FOREST RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096864",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 205",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 SE Cary Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187413",
            "country_code": "US",
            "telephone_number": "919-467-4992",
            "fax_number": "919-481-9607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENJALE",
        "first_name": "HIMANSHU",
        "middle_name": "RAMESH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkenjale178314@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1120 SE Cary Pkwy Ste 100",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.