Daniel Jay Hendrick, MD
Individual provider Active NPI Nephrology Physician · Amarillo, TX
NPI 1295790707 · NPPES record last updated Dec 26, 2012
Key facts
- NPI
- 1295790707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- M7257 (TX)
- Practice address
- 1805 Point West Parkway
Suite 100
Amarillo, TX 79124 - Phone
- (806) 418-8620
- Fax
- (806) 418-8626
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of Texas Southwestern Medical School at Dallas, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amarillo Nephrology Associates PA
Practice addresses (Care Compare)
1805 Point W Pkwy
Suite 100
Amarillo, TX 79124-2166
Phone (806) 418-8620
Hospital & facility affiliations
- Fresenius Medical Care Amarillo High Plains
- DaVita Dumas Dialysis
- Fresenius Kidney Care Palo Duro
- FMC Crown of Texas
- DaVita Amarillo Dialysis
- Bsa Hospital
- Northwest Texas Hospital
- Ochiltree General Hospital
- Golden Plains Community Hospital
- Hansford County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081024000333 | TX | Practitioner - Nephrology |
7719926138 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025682 | AL | MD | Internal Medicine Physician |
| M7257 | TX | MD | Internal Medicine Physician |
| 25682 | AL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarillo Nephrology Associates, P.a. | Current |
Accepting new patients |
Locations
1805 Point West Pkwy
Ste 200
Amarillo, TX 79124
Phone (806) 418-2690
1805 Point West Pkwy
Ste 100
Amarillo, TX 79124
Phone (806) 418-8620
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71057
- daniel.hendrick@ana.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00025682 | AL | |
| Internal Medicine Physician | 207R00000X | M7257 | TX | |
| Nephrology Physician | 207RN0300X | 25682 | AL | |
| Nephrology Physician | 207RN0300X | M7257 | TX | Yes |
Addresses
Primary practice location
1805 Point West Parkway
Suite 100
Amarillo, TX 79124
Mailing address
1805 Point West Parkway
Suite 100
Amarillo, TX 79124
Phone (806) 418-8620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009989245 | Medicaid | AL | |
| 8L2468 | Other | TX | MEDICARE PTAN |
| 93481586 | Medicaid | NM | |
| 752684668 | Other | TX | BCBS |
Other providers in Amarillo, TX
- Ashley Nichole Henderson
- Jasmyne Henderson
- Marcia Heather Henderson
- Robert Michael Henderson
- Candise Nichole Hendrick
- Joanie Hendrix
- Natalie Lynn Henning
- Katherine Ann Henry
- Ashley Megan Henson
- Harry Marcus Henson
All providers in Amarillo, TX · Nephrology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.