Individual provider Active NPI

Henry Nubung Enyenihi, MD

  • Internal Medicine Physician
  • Arlington, TN
National Provider Identifier
1992708002
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29373 Issued in TN
Practice address
11121 Highway 70
Suite 101
Arlington, TN 38002-9230
Phone
(901) 867-0211
Fax
(901) 867-0759
NPI assigned
May 23, 2005
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29373 TN Primary
Hospitalist Physician 208M00000X A50281 CA
Hospitalist Physician 208M00000X 29373 TN

Addresses

Primary practice location

11121 Highway 70
Suite 101
Arlington, TN 38002-9230

Mailing address

11121 Highway 70 Ste 101
Arlington, TN 38002-9230
Phone (901) 867-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 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
I20050329000206 TN Practitioner - Internal Medicine 3870549298 Reassigns benefits to 2 organizations
I20220927000582 CA Practitioner - Internal Medicine 3870549298 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50281CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center Hospitalist CurrentSince Apr 11, 2008 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 1, 2022 Accepting new patients
Henry County Medical Center CurrentSince Apr 11, 2008 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Arlington Medical Clinic PC Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

11177 Highway 70
Ste 101
Arlington, TN 38002
Phone (901) 867-0211

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1992708002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 HIGHWAY 70 STE 101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029230",
            "telephone_number": "901-867-0211",
            "fax_number": "901-867-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 HIGHWAY 70",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029230",
            "telephone_number": "901-867-0211",
            "fax_number": "901-867-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYENIHI",
        "first_name": "HENRY",
        "middle_name": "NUBUNG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "29373",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A50281",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "29373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

Verify at the official NPI Registry.