NPIMap

Individual provider Active NPI

Walter Cliff Hendrix IV, M.D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1477532893
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101047848 Issued in VA
Practice address
2201 Grove Ave
Richmond, VA 23220-4438
Phone
(804) 359-1351
Fax
(804) 355-6625
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 0101047848 VA Primary

Addresses

Primary practice location

2201 Grove Ave
Richmond, VA 23220-4438

Mailing address

2201 Grove Ave
Richmond, VA 23220-4438
Phone (804) 359-1351

Other identifiers 1

IdentifierTypeStateIssuer
6084613MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101019000668 VA Practitioner - Internal Medicine 2365566411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

2201 Grove Ave
Richmond, VA 23220-4438
Phone (804) 359-1351

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • HCA Virginia Healthcare at Home Home health agency, North Chesterfield, VA, CCN 497625
  • Westminster Canterbury Corporation Home health agency, Richmond, VA, CCN 497755
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036
  • Cedarfield Pinnacle Living Nursing home, Richmond, VA, CCN 495434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101047848VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 26, 2015 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Feb 26, 2015 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

2201 Grove Ave
Richmond, VA 23220
Phone (804) 359-1351

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: whendrix1151938@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1477532893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204438",
            "telephone_number": "804-359-1351",
            "fax_number": "804-355-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204438",
            "telephone_number": "804-359-1351",
            "fax_number": "804-355-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "WALTER",
        "middle_name": "CLIFF",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101047848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6084613",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.