Individual provider Active NPI

Charlie Frank Dendy, DO

  • Surgery Physician
  • Conroe, TX
National Provider Identifier
1508087438
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L7354 Issued in TX
Practice address
500 Medical Center Blvd
Ste 340
Conroe, TX 77304-2889
Phone
(281) 249-2260
NPI assigned
May 1, 2007
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L7354 TX Primary

Addresses

Primary practice location

500 Medical Center Blvd
Ste 340
Conroe, TX 77304-2889

Mailing address

500 Medical Center Blvd
Ste 340
Conroe, TX 77304-2889
Phone (281) 249-2260

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLIE.DENDY@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20071204000598 TX Practitioner - General Surgery 3577652122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conroe Montgomery Physicians Group, PLLCGroup PAC ID 1850547365, 14 clinicians

Practice addresses (Care Compare)

300 Bypass LN
Suite 206
Livingston, TX 77351-8416
Phone (936) 494-2201

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-7415

508 Medical Ctr Blvd
Suite 150
Conroe, TX 77304-2845
Phone (836) 760-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7354TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Montgomery Physicians Group, PLLC CurrentSince Apr 1, 2016 Accepting new patients
Greater Houston Physician's Medical Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

508 Medical Center Blvd
Ste 150
Conroe, TX 77304
Phone (836) 760-4600

Interoperability endpoints

  • Direct secure messaging: charlie.dendy@hca9.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1508087438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "STE 340",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "281-249-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "STE 340",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "281-249-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENDY",
        "first_name": "CHARLIE",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L7354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLIE.DENDY@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "500 Medical Center Blvd",
            "address_2": "STE 340",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.