Individual provider Active NPI

Jocelyn F. Hendricks, D.O.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1497742068
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4066 Issued in AZ
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 520-6291
NPI assigned
Sep 29, 2005
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 4066 AZ Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

2409 W Calle Retana
Tucson, AZ 85745-1329
Phone (520) 390-3136

Other practice location 1

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

Other identifiers 1

IdentifierTypeStateIssuer
869810MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20191203001015 HI Practitioner - Internal MedicinePractitioner - Hospitalist 8820063704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Hospital Physicians IncGroup PAC ID 3173413275, 18 clinicians

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 601
Aiea, HI 96701-4713
Phone (808) 485-4250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
92.5
Improvement activities
40
Cost
85.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4066AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Hospital Physicians Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Hawaii Post-Acute Medical Services 1 Inc CurrentSince Oct 1, 2019 Accepting new patients
Pali Momi Medical Center Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

98-1079 Moanalua Rd
#601
Aiea, HI 96701
Phone (808) 485-4250

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1497742068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 W CALLE RETANA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451329",
            "telephone_number": "520-390-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-520-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Waianuenue Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202089",
            "country_code": "US",
            "telephone_number": "808-932-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "JOCELYN",
        "middle_name": "F.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "869810",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.