Individual provider Active NPI

Paul Henry Juengel, MD

  • Otolaryngology Physician
  • Mebane, NC
National Provider Identifier
1700873940
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
30050 Issued in NC
Practice address
3940 Arrowhead Blvd
Ste 210
Mebane, NC 27302-7637
Phone
(919) 563-9705
Fax
(919) 304-0057
NPI assigned
Oct 3, 2005
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 30050 NC Primary

Addresses

Primary practice location

3940 Arrowhead Blvd
Ste 210
Mebane, NC 27302-7637

Mailing address

PO Box 2
Burlington, NC 27216-0002
Phone (336) 226-0660

Other identifiers 10

IdentifierTypeStateIssuer
26168OtherMEDCOST
47632OtherNCBCBS
8608OtherMEDICARE PARTNERS
1001769OtherUNITED HEALTHCARE
288790OtherMAMSI
6810958002OtherCIGNA
040012012OtherRAILROAD MEDICARE
4590481OtherAETNA
8947632MedicaidNC
13699OtherWELLPATH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303001088 NC Practitioner - Otolaryngology 2466525571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Alamance Ear Nose and Throat LLPGroup PAC ID 1355391566, 13 clinicians

Practice addresses (Care Compare)

2401 Southside Blvd
Greensboro, NC 27406-3311
Phone (336) 271-2800

3940 Arrowhead Blvd
Suite 210
Mebane, NC 27302-7637
Phone (919) 563-9705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30050NCMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Ear Nose and Throat, LLP Otolaryngology CurrentSince Jul 1, 1989 Accepting new patients
KND Development 59 , LLC CurrentSince Jan 1, 2010 Accepting new patients
KND Development 59, LLC CurrentSince Jan 1, 2010 Accepting new patients
Byrnett Surgical Associates PLLC PastSince Sep 6, 2020 Accepting new patients

Locations

4030 Oaks Professional Pkwy
Ste 201
Burlington, NC 27215
Phone (336) 226-0660

2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800

3940 Arrowhead Blvd
Ste 210
Mebane, NC 27302
Phone (336) 226-8000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1700873940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160002",
            "telephone_number": "336-226-0660",
            "fax_number": "336-227-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 ARROWHEAD BLVD",
            "address_2": "STE 210",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027637",
            "telephone_number": "919-563-9705",
            "fax_number": "919-304-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUENGEL",
        "first_name": "PAUL",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "30050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "26168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47632",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PARTNERS",
            "identifier": "8608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1001769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "288790",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6810958002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040012012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4590481",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947632",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "13699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

Verify at the official NPI Registry.