Individual provider Active NPI

Ricky Dale Hendrix, M.D.

  • Specialist
  • Alexandria, LA
National Provider Identifier
1124021381
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.016338 Issued in LA
Practice address
201 4TH St Ste 5a
Alexandria, LA 71301-8421
Phone
(318) 483-1961
Fax
(318) 483-1964
NPI assigned
May 23, 2005
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.016338 LA
Specialist 174400000X MD.016338 LA Primary

Addresses

Primary practice location

201 4TH St Ste 5a
Alexandria, LA 71301-8421

Mailing address

PO Box 1334
Winnfield, LA 71483-1334
Phone (318) 628-5565

Other practice location 1

603 W Court St
Winnfield, LA 71483-2633
Phone (318) 483-1961

Other identifiers 1

IdentifierTypeStateIssuer
1348732MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhendrix34905@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050422001216 LA Practitioner - Internal MedicinePractitioner - Nephrology 5294786281 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Louisiana State University School of Medicine in Shreveport, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Winn, LLCGroup PAC ID 6002198736, 17 clinicians

Practice addresses (Care Compare)

301 W Boundary Ave
Winn Parish Medical Center Physica
Winnfield, LA 71483-3427
Phone (318) 648-3000

301 W Boundary Ave B
Winn Wellness Clinic
Winnfield, LA 71483-3427
Phone (318) 209-4646

603 W Court St
Winnfield, LA 71483-2633
Phone (318) 628-5565

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Parish Nephrology, Apmc Specialist CurrentSince Sep 15, 1996 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Feb 1, 2018 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Feb 1, 2018 Accepting new patients
CLHG-Winn LLC CurrentSince Jul 25, 2024 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Apr 7, 2024 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Apr 7, 2024 Accepting new patients
CLHG-Winn, LLC Current Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC Specialist PastSince Nov 6, 2012 Accepting new patients

Locations

201 4th St
Ste 5
Alexandria, LA 71301
Phone (318) 769-3501

201 4th St
Ste 5A
Alexandria, LA 71301
Phone (318) 448-1249

1049 N Pine Rd
Olla, LA 71465
Phone (318) 495-3175

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

301 W Boundary Ave
Winnfield, LA 71483
Phone (318) 628-2721

301 W Boundary Ave
Ste B
Winnfield, LA 71483
Phone (318) 209-4646

603 W Court St
Winnfield, LA 71483
Phone (318) 483-1961

Interoperability endpoints

  • Direct secure messaging: ricky.hendrix@direct.la-hie.org

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.

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1124021381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714831334",
            "telephone_number": "318-628-5565",
            "fax_number": "318-628-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST STE 5A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 W Court St",
            "address_purpose": "LOCATION",
            "city": "Winnfield",
            "state": "LA",
            "postal_code": "714832633",
            "country_code": "US",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "RICKY",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.016338",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.016338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348732",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhendrix34905@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "201 4th St Ste 5A",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713018421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.