Individual provider Active NPI

Paul S Hendrickson, D.O.

  • Anesthesiology Physician
  • Schenectady, NY
National Provider Identifier
1336140375
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
194397-1 Issued in NY
Practice address
1201 Nott St
Suite 106
Schenectady, NY 12308-2589
Phone
(518) 374-3123
Fax
(518) 374-9711
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 194397-1 NY Primary

Addresses

Primary practice location

1201 Nott St
Suite 106
Schenectady, NY 12308-2589

Mailing address

1201 Nott St
Suite 106
Schenectady, NY 12308-2589
Phone (518) 374-3123

Other identifiers 17

IdentifierTypeStateIssuer
000405106001OtherBLUE SHIELD
000405106003OtherBLUE SHIELD NENY
12280OtherEMPIRE BLUE CROSS
33588ROtherFIDELIS MEDICARE
10000873OtherCDPHP
F77141OtherAMERICAN PROGRESSIVE TODA
000000083812OtherGHI HMO
01462151MedicaidNY
CAN1943976OtherWORKERS COMP
110160500OtherUS DEPT OF LABOR
PH01228010OtherEMPIRE BLUE CROSS
05311OtherMVP
040426006651OtherFIDELIS
194397-1OtherTRICARE NORTH REGION
9707078OtherGHI
CAN1943976OtherNO FAULT
PH01228020OtherEMPIRE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100316000144 NY Practitioner - Anesthesiology 6406981562 Reassigns benefits to 3 organizations
I20230203000030 FL Practitioner - Osteopathic Manipulative Medicine 6406981562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians
Schenectady Anesthesia Associates, P.C.Group PAC ID 5294628087, 43 clinicians

Practice addresses (Care Compare)

1375 Washington Ave
Suite 101
Albany, NY 12206-1056
Phone (518) 533-5000

600 McClellan St
Schenectady, NY 12304-1009
Phone (518) 382-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Merit-based Incentive Payment System (MIPS)

Final score
43.71 of 100Reported as group
Quality
30.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194397-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 1, 2017 Accepting new patients
Jupiter Anesthesia Associates LLC Anesthesiology CurrentSince Jan 23, 2023 Accepting new patients
Albany Medical College Anesthesiology CurrentSince May 2, 2022 Accepting new patients
Schenectady Anesthesia Associates, P.C. Anesthesiology CurrentSince Jul 11, 1994 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Aug 10, 2025 Accepting new patients
Jupiter Anesthesia Associates LLC Anesthesiology CurrentSince Jan 23, 2023 Accepting new patients
Upstate Anesthesia Services, P.C. Anesthesiology Past Accepting new patients
Troy Infectious Disease and Primary Care LLC Past Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

1785 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 533-1269

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

1072 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 283-2402

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1201 Nott St
Ste 106
Schenectady, NY 12308
Phone (518) 374-3123

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: phendrickson25331@albanymed.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD

Organizations & group practices 12

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 1

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1336140375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 106",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-374-3123",
            "fax_number": "518-374-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 106",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-374-3123",
            "fax_number": "518-374-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "194397-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000405106001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NENY",
            "identifier": "000405106003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "12280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS MEDICARE",
            "identifier": "33588R",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10000873",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PROGRESSIVE TODA",
            "identifier": "F77141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000083812",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01462151",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "CAN1943976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "110160500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "PH01228010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "05311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426006651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH REGION",
            "identifier": "194397-1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9707078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO FAULT",
            "identifier": "CAN1943976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "PH01228020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.