Individual provider Active NPI

Annabelle Hendrix, D.O.

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1497043103
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
2022014782 Issued in MO
Practice address
9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Phone
(816) 363-2600
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101019359 MI
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 2022014782 MO Primary

Addresses

Primary practice location

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212

Mailing address

5450 Fort St
Trenton, MI 48183-4601

Other practice location 1

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20230512002484 MO Practitioner - Emergency Medicine 2769791805 Reassigns benefits to 1 organization
I20230707003439 KS Practitioner - Emergency Medicine 2769791805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Hospice IncGroup PAC ID 3971413295, 11 clinicians

Practice addresses (Care Compare)

10100 W 87TH St
Suite 100
Overland Park, KS 66212-4628
Phone (816) 363-2600

9001 State Line Rd
Suite 300
Kansas City, MO 64114-3212
Phone (816) 363-2600

Hospital & facility affiliations

  • Research Medical Center Hospital, Kansas City, MO, CCN 260027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019359MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Hospice, Inc CurrentSince Jul 5, 2023 Accepting new patients
Kansas City Hospice, Inc CurrentSince Jul 5, 2023 Accepting new patients

Locations

10100 W 87th St
Ste 100
Overland Park, KS 66212
Phone (913) 894-8228

9001 State Line Rd
Ste 300
Kansas City, MO 64114

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

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 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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1497043103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Fort St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481834601",
            "country_code": "US",
            "telephone_number": "734-671-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "ANNABELLE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101019359",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "2022014782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.