Individual provider Active NPI

Kimberly S Hendricks, DO

  • Rheumatology Physician
  • Marietta, OH
National Provider Identifier
1255345336
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
34.008678 Issued in OH
Practice address
800 Wayne St Ste 100
Marietta, OH 45750-3309
Phone
(740) 568-2214
Fax
(740) 568-2099
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 03199 KY
Rheumatology Physician 207RR0500X 34.008678 OH Primary

Addresses

Primary practice location

800 Wayne St Ste 100
Marietta, OH 45750-3309

Mailing address

7707 Paragon Rd
Suite 101
Dayton, OH 45459-4041
Phone (937) 208-6920

Other practice location 1

7707 Paragon Rd
Suite 101
Dayton, OH 45459-4041
Phone (937) 208-6920

Other practice location 2

807 Farson St Ste 204C
Belpre, OH 45714-1069
Phone (740) 568-2214

Other names 1

  • Kimberly S England Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.hendricks@mmhs.medicity.net
Direct Messaging Address kimberly.hendricks@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060817000639 OH Practitioner - RheumatologyPractitioner - Internal Medicine 0840293593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

800 Wayne St
Marietta, OH 45750-3309

807 Farson St
Belpre, OH 45714-1069

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Selby General Hospital Hospital, Marietta, OH, CCN 361319
  • Sistersville General Hospital Hospital, Sistersville, WV, CCN 511304
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03199KYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Current Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 29, 2022 Accepting new patients
Mvhe Inc CurrentSince Oct 7, 2013 Accepting new patients
Mvhe Inc CurrentSince Oct 7, 2013 Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 29, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

807 Farson St
Ste 204C
Belpre, OH 45714
Phone (740) 423-3207

7707 Paragon Rd
Ste 101
Dayton, OH 45459
Phone (937) 208-6920

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

800 Wayne St
Ste 100
Marietta, OH 45750
Phone (740) 568-2214

Interoperability endpoints

  • Direct secure messaging: khendricks791902@direct.unitypoint.org

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 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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1255345336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 PARAGON RD",
            "address_2": "SUITE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594041",
            "telephone_number": "937-208-6920",
            "fax_number": "937-208-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WAYNE ST STE 100",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503309",
            "telephone_number": "740-568-2214",
            "fax_number": "740-568-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 Paragon Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454594041",
            "country_code": "US",
            "telephone_number": "937-208-6920",
            "fax_number": "937-208-6920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 Farson St Ste 204C",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141069",
            "country_code": "US",
            "telephone_number": "740-568-2214",
            "fax_number": "740-568-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "03199",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "34.008678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.hendricks@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "800 Wayne St Ste 100",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.hendricks@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 204C",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ENGLAND",
            "middle_name": "S",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.