Henry Nubung Enyenihi, MD
Individual provider Active NPI Internal Medicine Physician · Arlington, TN
NPI 1992708002 · NPPES record last updated Dec 4, 2012
Key facts
- NPI
- 1992708002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 29373 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50281 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Henry County Medical Center | Hospitalist | Current |
Accepting new patients |
| Galen Inpatient Physicians Inc | Internal Medicine | Current |
Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Arlington Medical Clinic PC | Internal Medicine | Current |
Accepting new patients |
| Henry County Medical Center | Current |
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) 851-7423
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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29373 | TN | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4126386 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
| 3842358 | Medicaid | TN |
Other providers in Arlington, TN
- Wayland Dowden
- Jeffrey Bryant Duffey
- Erin Draper Egbert
- Hebatalla Farouk Elmotayam
- Jonathan Tyler English
- Patrice Michelle Cynthia Enyong
- Mia Michele Erskine
- Faith Family Medical Services
- Fast Pace Medical Clinic PLLC
- Melissa Felix
All providers in Arlington, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.