Individual provider Active NPI

Paden Hendrickson, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1154434637
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44362 Issued in AZ
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

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1154434637MedicaidIA
P00784898OtherIARR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000852 AZ Practitioner - Internal Medicine 0547337800 Reassigns benefits to 3 organizations

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
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500

Hospital & facility affiliations

  • Infinity Hospice Care, LLC Hospice, Scottsdale, AZ, CCN 031565
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
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

LicenseStateTypeSpecialty
R7917IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Oct 14, 2023 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Aug 1, 2015 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 PastSince Sep 17, 2021 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.