Individual provider Active NPI

Paul E Enochs, MD

  • Surgery Physician
  • Cary, NC
National Provider Identifier
1558339036
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200200027 Issued in NC
Practice address
160 Macgregor Pines Dr
Cary, NC 27511-6036
Phone
(919) 234-4468
Fax
(919) 234-4478
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 200200027 NC Primary

Addresses

Primary practice location

160 Macgregor Pines Dr
Cary, NC 27511-6036

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490

Other identifiers 1

IdentifierTypeStateIssuer
131T9OtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address penochs57606@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220414002440 NY Practitioner - General Surgery 1153210349 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200027NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Charles Hospital Corp CurrentSince Apr 1, 2022 Accepting new patients
St. Joseph Hospital CurrentSince Apr 1, 2022 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Jun 19, 2023 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Apr 23, 2024 Accepting new patients
Mercy Medical Center CurrentSince Apr 1, 2022 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Apr 1, 2022 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Apr 1, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037

15 Park Ave
Bay Shore, NY 11706
Phone (631) 581-4400

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

1345 Motor Pkwy
Islandia, NY 11749
Phone (631) 630-6297

496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020

146A Manetto Hill Rd
Ste 205
Plainview, NY 11803
Phone (516) 302-8530

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

1441 South Ave
Ste 205
Staten Island, NY 10314

560 Sunrise Hwy
West Islip, NY 11795

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: penochs139398@direct-chsli.net
  • Direct secure messaging: penochs57606@directhisp.wakemed.org

Organizations & group practices 11

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1558339036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040010",
            "telephone_number": "877-498-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MACGREGOR PINES DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116036",
            "telephone_number": "919-234-4468",
            "fax_number": "919-234-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOCHS",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200200027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "131T9",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "penochs57606@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 MacGregor Pines Dr",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275116036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.