Active NPI
Gregory Hendricks, M.D.
- Anesthesiology Physician
- Bethesda, MD
National Provider Identifier
1255411872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0046681
- Practice address
- 7475 Wisconsin Ave
Suite 350
Bethesda, MD 20814-3412 - Phone
- (301) 986-8010
- Fax
- (301) 986-8011
- NPI assigned
- Oct 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0046681 | MD | Primary |
Addresses
Primary practice location
7475 Wisconsin Ave
Suite 350
Bethesda, MD 20814-3412
Mailing address
104 King Farm Blvd
Apt. C303
Rockville, MD 20850-5862
Phone (301) 963-0963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0046681 | Other | MD | MD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0046681 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Regional Medical Center | Anesthesiology | Past | Accepting new patients |
| Frederick Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
| Home Physicians Baltimore, PC | Past | Accepting new patients | |
| Safe Sedation, PLLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Frederick, MD
- NPI 1639283757
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1952591547
-
- Anesthesiology Physician
- Bethesda, MD
- NPI 1528071503
-
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255411872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 KING FARM BLVD",
"address_2": "APT. C303",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505862",
"telephone_number": "301-963-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7475 WISCONSIN AVE",
"address_2": "SUITE 350",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143412",
"telephone_number": "301-986-8010",
"fax_number": "301-986-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0046681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "D0046681",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.