Individual provider Active NPI

Daniel Stephen Hendry, M.D.

  • Diagnostic Radiology Physician
  • Hixson, TN
National Provider Identifier
1114283306
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
57339 Issued in TN
Practice address
2051 Hamill Rd
Hixson, TN 37343-6614
Phone
(423) 495-7100
Fax
(423) 495-6179
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 57339 TN Primary

Addresses

Primary practice location

2051 Hamill Rd
Hixson, TN 37343-6614

Mailing address

601 Dodds Ave
Chattanooga, TN 37404-3900
Phone (423) 826-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20181019000974 TN Practitioner - Diagnostic Radiology 6901159052 Reassigns benefits to 1 organization
I20200811002356 GA Practitioner - Diagnostic Radiology 6901159052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Consultants IncGroup PAC ID 7618949520, 15 clinicians

Practice addresses (Care Compare)

2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 495-7100

4700 Battlefield Pkwy
Ringgold, GA 30736-5166
Phone (866) 730-5619

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
  • Rhea Medical Center Hospital, Dayton, TN, CCN 441310

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Memorial Hospital - Georgia CurrentSince Aug 3, 2020 Accepting new patients
Memorial Health Care System, Inc. Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170

4700 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14399/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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 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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1114283306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043900",
            "telephone_number": "423-826-8220",
            "fax_number": "423-698-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436614",
            "telephone_number": "423-495-7100",
            "fax_number": "423-495-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRY",
        "first_name": "DANIEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "57339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.