Active NPI
Paden Hendrickson, MD
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 44362
- Practice address
- 1930 E Thomas Rd
Phoenix, AZ 85016-7711 - Phone
- (602) 532-1000
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R7917 | IA | |
| Internal Medicine Physician | 207R00000X | 44362 | AZ | Primary |
Addresses
Primary practice location
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Mailing address
3920 E Thomas Rd Unit 97072
Phoenix, AZ 85060-2697
Phone (612) 747-2406
Other practice location 1
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 745-9632
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154434637 | Medicaid | IA | |
| P00784898 | Other | IA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500
Hospital & facility affiliations
- Infinity Hospice Care, LLC
- Abrazo Arrowhead Hospital
- Wickenburg Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7917 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Internal Medicine | Current | Accepting new patients |
| Dvma, LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Arizona PC | Internal Medicine | Current | Accepting new patients |
| VHS of Arrowhead, Inc. | Past | Accepting new patients | |
| Sound Hospitalists of Centura, PC | Internal Medicine | Past | Accepting new patients |
| VHS of Arrowhead, Inc | Past | Accepting new patients | |
| Infinity Hospice Care LLC | Past | Accepting new patients |
Locations
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
2020 N Central Ave
Ste 1010
Phoenix, AZ 85004
Phone (602) 553-8400
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Peoria, AZ
- NPI 1194893800
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Internal Medicine
-
- Internal Medicine Physician
- Sierra Vista, AZ
- NPI 1568758266
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1467414664
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1255640819
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1467414664
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1154434637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 E THOMAS RD UNIT 97072",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850602697",
"telephone_number": "612-747-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167711",
"telephone_number": "602-532-1000"
}
],
"practiceLocations": [
{
"address_1": "14200 W Celebrate Life Way",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853383007",
"country_code": "US",
"telephone_number": "623-745-9632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "PADEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R7917",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "44362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154434637",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00784898",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.