Individual provider Active NPI

Scott E. Hendrickson, DO

  • Gastroenterology Physician
  • Tulsa, OK
National Provider Identifier
1497714687
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
3666 Issued in OK
Practice address
10210 E 91St St
Tulsa, OK 74133-5834
Phone
(918) 940-8500
Fax
(918) 940-8399
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 3666 OK Primary

Addresses

Primary practice location

10210 E 91St St
Tulsa, OK 74133-5834

Mailing address

10210 E 91St St
Tulsa, OK 74133-5834
Phone (918) 940-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20091027000678 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 5395882153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialists, Inc.Group PAC ID 0446251664, 21 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

10210 E 91St St
FL 2
Tulsa, OK 74133-5834
Phone (918) 940-8900

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • St John Owasso Hospital, Owasso, OK, CCN 370227

Merit-based Incentive Payment System (MIPS)

Final score
80.43 of 100Reported as group
Quality
70.34
Promoting interoperability
84
Improvement activities
40
Cost
77.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux349

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. Gastroenterology CurrentSince Jul 7, 2021 Accepting new patients
St. John Physicians, Inc CurrentSince Jul 7, 2021 Accepting new patients
Gastroenterology Specialists, Inc. Gastroenterology CurrentSince May 1, 2021 Accepting new patients
St John Medical Center Inc Past Accepting new patients

Locations

12455 E 100th St N
Ste 270
Owasso, OK 74055
Phone (918) 940-8500

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137
Phone (918) 209-5170

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

10210 E 91st St
Tulsa, OK 74133
Phone (918) 940-8500

10210 E 91st St
Fl 2
Tulsa, OK 74133
Phone (918) 940-8500

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1145 S Utica Ave
Ste 1105
Tulsa, OK 74104
Phone (918) 579-5724

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1497714687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500",
            "fax_number": "918-940-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500",
            "fax_number": "918-940-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "SCOTT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.