Individual provider Active NPI

Henry Lepore, MD

  • Physical Medicine & Rehabilitation Physician
  • Sunset Beach, NC
National Provider Identifier
1831185438
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
96-01376 Issued in NC
Practice address
830 Sunset Blvd N
Sunset Beach, NC 28468-4262
Phone
(910) 575-5750
Fax
(910) 575-5751
NPI assigned
Sep 20, 2005
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 96-01376 NC Primary

Addresses

Primary practice location

830 Sunset Blvd N
Sunset Beach, NC 28468-4262

Mailing address

830 Sunset Blvd N
Sunset Beach, NC 28468-4262
Phone (910) 575-5750

Other identifiers 2

IdentifierTypeStateIssuer
012EKOtherNCBLUE CROSS BLUE SHIELD NC
8911413MedicaidNC

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
I20090109000354 NC Practitioner - Physical Medicine and Rehabilitation 6608896428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Medical PAGroup PAC ID 1557425493, 2 clinicians

Practice addresses (Care Compare)

830 Sunset Blvd N
Sunset Beach, NC 28468-4262
Phone (910) 575-5750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as individual
Quality
97.93
Improvement activities
40
Cost
70.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-01376NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Medical, PA CurrentSince Aug 6, 2019 Accepting new patients
Southeastern Medical, PA Physical Medicine & Rehabilitation CurrentSince Mar 1, 1998 Accepting new patients

Locations

830 Sunset Blvd N
Sunset Beach, NC 28468
Phone (910) 575-5750

Interoperability endpoints

  • Direct secure messaging: hlepore@direct.meditouchehr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHBDD/Endpoint/DAHBDD

Organizations & group practices 2

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 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1831185438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SUNSET BLVD N",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684262",
            "telephone_number": "910-575-5750",
            "fax_number": "910-575-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SUNSET BLVD N",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684262",
            "telephone_number": "910-575-5750",
            "fax_number": "910-575-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORE",
        "first_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "96-01376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "012EK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911413",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset Beach, NC

Sources for this page

Verify at the official NPI Registry.