NPIMap

Individual provider Active NPI

Paul G. Hendrix, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1306848692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12893 Issued in OK
Practice address
2000 S Wheeling Ave
Ste 1000
Tulsa, OK 74104-5648
Phone
(918) 748-8467
NPI assigned
Jun 1, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12893 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave
Ste 1000
Tulsa, OK 74104-5648

Mailing address

6966 S Utica Ave
Ste 225
Tulsa, OK 74136-3903
Phone (918) 492-6333

Other identifiers 1

IdentifierTypeStateIssuer
200183173002OtherOKBLUECROSS BLUESHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20031222000365 OK Practitioner - Internal Medicine 0648178236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tulsa Internal Medicine Physicians, PLLCGroup PAC ID 4284532870, 2 clinicians

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 1000
Tulsa, OK 74104-5648
Phone (918) 748-8467

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual
Quality
50
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Internal Medicine Physicians, PLLC Internal Medicine CurrentSince Sep 1, 2003 Accepting new patients
St. John Physicians, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2000 S Wheeling Ave
Ste 1000
Tulsa, OK 74104
Phone (918) 748-8467

6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333

Organizations & group practices 3

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 9

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306848692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 S UTICA AVE",
            "address_2": "STE 225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363903",
            "telephone_number": "918-492-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE",
            "address_2": "STE 1000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045648",
            "telephone_number": "918-748-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "PAUL",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "12893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "200183173002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.