Active NPI
Hendrik Dinkla, ME53372
- Neurology Physician
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME53372
- Practice address
- 10050 SW Innovation Way Suite 102
10050 SW Innovation Way Suite 102
Port Saint Lucie, FL 34987 - Phone
- (772) 344-3811
- Fax
- (772) 335-2422
- NPI assigned
- Jun 14, 2006
- Last updated
- Oct 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME53372 | FL | Primary |
Addresses
Primary practice location
10050 SW Innovation Way Suite 102
10050 SW Innovation Way Suite 102
Port Saint Lucie, FL 34987
Mailing address
10050 SW Innovation Way Suite 102
10050 SW Innovation Way Suite 102
Port Saint Lucie, FL 34987
Phone (772) 344-3811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0447625-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Miami, LM Miller School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Memorial Hospital-West Volusia Inc | Past | Accepting new patients | |
| Southwest Volusia Healthcare Corporation | Neurology | Past | Accepting new patients |
Locations
10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853
10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- hdinkla2500999@direct.ccf.org
Organizations & group practices 4
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.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
dba AdventHealth DeLand
- Psychiatric Hospital Unit
- Ormond Beach, FL
- NPI 1265529887
-
dba AdventHealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1346424165
Neurology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1407899560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 SW INNOVATION WAY SUITE 102",
"address_2": "10050 SW INNOVATION WAY SUITE 102",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34987",
"telephone_number": "772-344-3811",
"fax_number": "772-335-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 SW INNOVATION WAY SUITE 102",
"address_2": "10050 SW INNOVATION WAY SUITE 102",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34987",
"telephone_number": "772-344-3811",
"fax_number": "772-335-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINKLA",
"first_name": "HENDRIK",
"name_prefix": "Dr.",
"credential": "ME53372",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME53372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0447625-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.