Individual provider Active NPI

Paul A McHenry, MD

  • Infectious Disease Physician
  • Duluth, MN
National Provider Identifier
1962422923
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2409 Issued in WI
Practice address
400 East 3Rd Street
Duluth, MN 55805
Phone
(218) 786-8364
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301055144 MI
Internal Medicine Physician 207R00000X 18105 NV
Hospitalist Physician 208M00000X 18105 NV
Infectious Disease Physician 207RI0200X 2409 WI Primary

Addresses

Primary practice location

400 East 3Rd Street
Duluth, MN 55805

Mailing address

400 East 3Rd Street
Duluth, MN 55805
Phone (218) 786-8364

Other practice location 1

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-7878

Other identifiers 1

IdentifierTypeStateIssuer
4707483-10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130103000476 AZ Practitioner - Internal Medicine 3072590348 Reassigns benefits to 4 organizations
I20221221001165 WI Practitioner - Infectious Disease 3072590348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Northeastern Ohio University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-7276

Hospital & facility affiliations

  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18105NVMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Current Accepting new patients
Prohealth Medical Group Inc Internal Medicine CurrentSince Nov 15, 2022 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Nov 29, 2015 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Sep 9, 2017 Accepting new patients
Prohealth Medical Group Inc. Internal Medicine CurrentSince Nov 15, 2022 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Nov 29, 2015 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Dec 12, 2016 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Oct 9, 2018 Accepting new patients
Infectious Disease Center, P.C. Infectious Disease Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

Interoperability endpoints

  • Direct secure messaging: pmchenry135735@direct.renown.org
  • Direct secure messaging: pmchenry160884@direct.phci.org

Organizations & group practices 10

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.

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1962422923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST 3RD STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST 3RD STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301055144",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "18105",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "18105",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4707483-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.