Individual provider Active NPI

Carolyn Marie Hendrickson, MD

  • Pulmonary Disease Physician
  • San Francisco, CA
National Provider Identifier
1043548407
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A111424 Issued in CA
Practice address
505 Parnassus Ave
Room M987
San Francisco, CA 94143-2204
Phone
(415) 476-1528
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A111424 CA Primary
Internal Medicine Physician 207R00000X A111424 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A111424 CA

Addresses

Primary practice location

505 Parnassus Ave
Room M987
San Francisco, CA 94143-2204

Mailing address

1001 Potrero Ave
BLDG. 5, FL. 1, 1M
San Francisco, CA 94110-3510
Phone (628) 206-8494

Other practice location 1

1001 Potrero Ave
Bldg. 5, Fl. 1, 1M
San Francisco, CA 94110-3518
Phone (628) 206-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140804002140 CA Practitioner - Critical Care (Intensivists) 2567689219 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of California, San Francisco School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-8314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111424CAMDDentist
A111424CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Nov 17, 2019 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City and County of San Francisco CurrentSince Nov 17, 2019 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
University Anesthesia Medical Group CurrentSince Jul 1, 2014 Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Sep 9, 2015 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2016 Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 9, 2015 Accepting new patients
City & County of San Francisco Current Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 1, 2014 Accepting new patients
University of California SFGH Medical Group Pulmonary Disease CurrentSince Jun 1, 2016 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Medical Center Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

505 Parnassus Ave
Rm M987
San Francisco, CA 94143
Phone (415) 476-1528

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

505 Parnassus Ave
Ste M1090
San Francisco, CA 94143

1001 Potrero Ave
Rm 5K1
San Francisco, CA 94110
Phone (415) 206-8314

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
#M1090
San Francisco, CA 94143
Phone (415) 353-1043

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1043548407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "BLDG. 5, FL. 1, 1M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103510",
            "telephone_number": "628-206-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "address_2": "ROOM M987",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave",
            "address_2": "Bldg. 5, Fl. 1, 1M",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-206-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A111424",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111424",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A111424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.