Active NPI
Robert G McHendrix III, D.P.M.
- Podiatrist
- Erlanger, KY
National Provider Identifier
1497752612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80001258 | Medicaid | KY | |
| 0245354 | Medicaid | OH | |
| 0247710001 | Other | KY | MEDICARE DME |
| 958792 | Other | KY | AETNA |
| 000000033272 | Other | KY | ANTHEM BCBS |
| 27-80420 | Other | KY | UNITED HEALTHCARE |
| 406480106 | Other | KY | RAILROAD MEDICARE UHC |
| K0125 | Other | KY | HUMANA/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
| License | State | Type | Specialty |
|---|---|---|---|
| 00125 | KY | MD | Podiatrist |
| K0125 | KY | MD | Radiology 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.