Individual provider Active NPI

Jason Errol Hendrix, D.O.

  • Dermatology Physician
  • Reading, PA
National Provider Identifier
1407037237
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS014279 Issued in PA
Practice address
2208 Quarry Dr
Suite 206
Reading, PA 19609
Phone
(610) 750-7891
Fax
(610) 750-7896
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015738 MI
Dermatology Physician 207N00000X OS014279 PA Primary

Addresses

Primary practice location

2208 Quarry Dr
Suite 206
Reading, PA 19609

Mailing address

3317 Penn Ave
Reading, PA 19609-1436
Phone (610) 750-7891

Other practice location 1

2208 Quarry Dr
Suite 206
Reading, PA 19609-1158
Phone (610) 750-7891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000251 PA Practitioner - DermatologyPractitioner - Family Practice 6901986140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading Dermatology Associates PCGroup PAC ID 6901955442, 9 clinicians

Practice addresses (Care Compare)

3317 Penn Ave
West Lawn, PA 19609-1436
Phone (610) 644-8225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
94.86
Promoting interoperability
95
Improvement activities
40
Cost
79.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions4190
Removal of nail tissue1-10
Removal or shaving of skin growth437
Skin biopsy843

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015738MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Dermatology Associates PC Dermatology CurrentSince Apr 14, 2009 Accepting new patients
West Dermatology of Pennsylvania a Professional Medical Corporation Dermatology Past Accepting new patients

Locations

3317 Penn Ave
West Lawn, PA 19609
Phone (610) 644-8225

2208 Quarry Dr
Ste 206
West Lawn, PA 19609
Phone (610) 685-2449

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1407037237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 PENN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091436",
            "telephone_number": "610-750-7891",
            "fax_number": "610-750-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 QUARRY DR",
            "address_2": "SUITE 206",
            "city": "READING",
            "state": "PA",
            "postal_code": "19609",
            "telephone_number": "610-750-7891",
            "fax_number": "610-750-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 Quarry Dr",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196091158",
            "country_code": "US",
            "telephone_number": "610-750-7891",
            "fax_number": "610-750-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "JASON",
        "middle_name": "ERROL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015738",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS014279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.