Individual provider Active NPI

Henry Tellez, M.D.

  • Specialist
  • Pinehurst, NC
National Provider Identifier
1861560401
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9500740 Issued in NC
Practice address
295 Olmsted Blvd
Mellon BLDG. Ste. 12
Pinehurst, NC 28374-9131
Phone
(910) 235-0535
Fax
(910) 235-0546
NPI assigned
Dec 1, 2006
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9500740 NC Primary

Addresses

Primary practice location

295 Olmsted Blvd
Mellon BLDG. Ste. 12
Pinehurst, NC 28374-9131

Mailing address

295 Olmsted Blvd
Mellon BLDG. Ste. 12
Pinehurst, NC 28374-9131
Phone (910) 235-0595

Other practice location 1

251 Keisler Dr Ste 100
Cary, NC 27518-7091
Phone (910) 235-0595

Other practice location 2

101 Dennis Dr
Sanford, NC 27330-6343
Phone (910) 235-0595

Other practice location 3

101 Dennis Dr
Sanford, NC 27330-6343
Phone (910) 235-0595

Other practice location 4

251 Keisler Dr Ste 100
Cary, NC 27518-7091
Phone (910) 235-0595

Other identifiers 3

IdentifierTypeStateIssuer
130022118OtherNCRAIL ROAD MEDICARE
82328OtherNCBLUE CROSS BLUE SHIELD NC
8982328MedicaidNC

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
I20100125000603 NC Practitioner - Neurology 8527100890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-22, LLCGroup PAC ID 7315338324, 12 clinicians

Practice addresses (Care Compare)

295 Olmsted Blvd
Pinehurst, NC 28374-8734
Phone (910) 375-7344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
100
Promoting interoperability
89
Improvement activities
40
Cost
83.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-22, LLC Specialist CurrentSince Jan 1, 2022 Accepting new patients
MCPC-22, LLC Specialist CurrentSince Jan 1, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Sep 1, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Neurology Specialist CurrentSince Sep 1, 2022 Accepting new patients

Locations

251 Keisler Dr
Ste 100
Cary, NC 27518
Phone (910) 235-0595

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

295 Olmsted Blvd
Pinehurst, NC 28374
Phone (910) 375-7344

295 Olmsted Blvd
Ste 12
Pinehurst, NC 28374
Phone (910) 235-0595

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

101 Dennis Dr
Sanford, NC 27330
Phone (910) 235-0595

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

Interoperability endpoints

  • Direct secure messaging: htellez107415@firsthealth.direct-ci.net

Organizations & group practices 5

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 5

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1861560401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 OLMSTED BLVD",
            "address_2": "MELLON BLDG. STE. 12",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749131",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 OLMSTED BLVD",
            "address_2": "MELLON BLDG. STE. 12",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749131",
            "telephone_number": "910-235-0535",
            "fax_number": "910-235-0546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Keisler Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187091",
            "country_code": "US",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dennis Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306343",
            "country_code": "US",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dennis Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306343",
            "country_code": "US",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Keisler Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187091",
            "country_code": "US",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9500740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "130022118",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "82328",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8982328",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.