NPIMap

Individual provider Active NPI

Daniel Jay Hendrick, MD

  • Nephrology Physician
  • Amarillo, TX
National Provider Identifier
1295790707
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M7257 Issued in 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
Last updated
Dec 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00025682 AL
Internal Medicine Physician 207R00000X M7257 TX
Nephrology Physician 207RN0300X 25682 AL
Nephrology Physician 207RN0300X M7257 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000333 TX Practitioner - NephrologyPractitioner - Internal Medicine 7719926138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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 PAGroup PAC ID 5193825016, 5 clinicians

Practice addresses (Care Compare)

1805 Point W Pkwy
Suite 100
Amarillo, TX 79124-2166
Phone (806) 418-8620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00025682ALMDInternal Medicine Physician
M7257TXMDInternal Medicine Physician
25682ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Nephrology Associates, P.a. CurrentSince Jul 15, 2008 Accepting new patients

Locations

1805 Point West Pkwy
Ste 100
Amarillo, TX 79124
Phone (806) 418-8620

1805 Point West Pkwy
Ste 200
Amarillo, TX 79124
Phone (806) 418-2690

Interoperability endpoints

  • Direct secure messaging: daniel.hendrick@ana.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71057

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1295790707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 POINT WEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-418-8620",
            "fax_number": "806-418-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 POINT WEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-418-8620",
            "fax_number": "806-418-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "DANIEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00025682",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7257",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "25682",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M7257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.