Active NPI
Himanshu Ramesh Kenjale, PA-C
- Physician Assistant
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-01532
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 Inc
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Spine & Pain Specialists PC | Current | Accepting new patients | |
| Wake Spine and Pain Specialists, PC | Current | Accepting new patients | |
| Unc Physicians Group Practices II, LLC | Current | 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
- 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.
-
dba UNC Health Cary Orthopaedic and Sports Medicine Specialists
- Sports Medicine (Orthopaedic Surgery) Physician
- Cary, NC
- NPI 1053919183
-
- Pain Medicine (Anesthesiology) Physician
- Cary, NC
- NPI 1568696748
-
- Pain Medicine (Anesthesiology) Physician
- Winston Salem, NC
- NPI 1376287714
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.