Individual provider Active NPI

Robert G McHendrix III, D.P.M.

  • Podiatrist
  • Erlanger, KY
National Provider Identifier
1497752612
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00125 Issued in KY
Practice address
3126 Dixie Hwy
Suite 10
Erlanger, KY 41018-1866
Phone
(859) 331-4777
Fax
(859) 341-3133
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00125 KY Primary
Foot Surgery Podiatrist 213ES0131X 00125 KY
Radiology Podiatrist 213ER0200X K0125 KY
Prosthetic/Orthotic Supplier 335E00000X K0125 KY
Durable Medical Equipment & Medical Supplies 332B00000X K0125 KY

Addresses

Primary practice location

3126 Dixie Hwy
Suite 10
Erlanger, KY 41018-1866

Mailing address

3126 Dixie Hwy
Erlanger, KY 41018-1866
Phone (859) 331-4777

Other identifiers 8

IdentifierTypeStateIssuer
80001258MedicaidKY
0245354MedicaidOH
0247710001OtherKYMEDICARE DME
958792OtherKYAETNA
000000033272OtherKYANTHEM BCBS
27-80420OtherKYUNITED HEALTHCARE
406480106OtherKYRAILROAD MEDICARE UHC
K0125OtherKYHUMANA/CHOICE CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00125KYMDPodiatrist
K0125KYMDRadiology Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1497752612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 DIXIE HWY",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181866",
            "telephone_number": "859-331-4777",
            "fax_number": "859-341-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 DIXIE HWY",
            "address_2": "SUITE 10",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181866",
            "telephone_number": "859-331-4777",
            "fax_number": "859-341-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENDRIX",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00125",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KY",
            "license": "00125",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "KY",
            "license": "K0125",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "K0125",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "K0125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001258",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245354",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0247710001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "958792",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000033272",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "27-80420",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE UHC",
            "identifier": "406480106",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/CHOICE CARE",
            "identifier": "K0125",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.