Organization Active NPI

North Hills Internal & Integrative Medicine, PA

  • Gastroenterology Physician
  • Raleigh, NC
National Provider Identifier
1669883435
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28586 Issued in NC
Legal business name
NORTH HILLS INTERNAL & INTEGRATIVE MEDICINE, PA
Practice address
4822 Six Forks Rd
Raleigh, NC 27609-5269
Phone
(919) 977-1675
Fax
(919) 977-3398
NPI assigned
May 15, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Henry Joseph Van Pala, MDNPI 1710241658
Title
Owner/Provider
Phone
(919) 662-8633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 28586 NC Primary

Addresses

Primary practice location

4822 Six Forks Rd
Raleigh, NC 27609-5269

Mailing address

4822 Six Forks Rd
Raleigh, NC 27609-5269
Phone (919) 977-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140808000392 NC Part B Supplier - Clinic/Group Practice 7618194226 Receives reassigned benefits from 3 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

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

4822 Six Forks Rd
Raleigh, NC 27609
Phone (919) 334-0245

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9096/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1669883435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095269",
            "telephone_number": "919-977-1675",
            "fax_number": "919-977-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095269",
            "telephone_number": "919-977-1675",
            "fax_number": "919-977-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HILLS INTERNAL & INTEGRATIVE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "VAN PALA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-662-8633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "28586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.