Individual provider Active NPI

Michael W Hendricks, MD

  • Orthopaedic Surgery Physician
  • Burlington, IA
National Provider Identifier
1568482446
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
26178 Issued in IA
Practice address
903 Oak St
Burlington, IA 52601-4608
Phone
(319) 758-9133
Fax
(319) 758-9143
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26178 IA
Orthopaedic Surgery Physician 207X00000X 26178 IA Primary

Addresses

Primary practice location

903 Oak St
Burlington, IA 52601-4608

Mailing address

PO Box 156
Burlington, IA 52601-0156
Phone (319) 758-9133

Other identifiers 2

IdentifierTypeStateIssuer
46204OtherIABLUE CROSS BLUE SHEILD
1043539MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20031217000862 IA Practitioner - Orthopedic Surgery 3072410075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Florida College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

903 Oak St
Burlington, IA 52601-4608

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.79 of 100Reported as individual
Quality
12.1
Improvement activities
0
Cost
76.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26178IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Orthopedics & Sports Medicine PC Specialist CurrentSince Dec 1, 2012 Accepting new patients

Locations

903 Oak St
Burlington, IA 52601
Phone (319) 209-2150

600 N Main St
Burlington, IA 52601
Phone (319) 752-8282

Organizations & group practices 1

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 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1568482446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526010156",
            "telephone_number": "319-758-9133",
            "fax_number": "319-758-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 OAK ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014608",
            "telephone_number": "319-758-9133",
            "fax_number": "319-758-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "26178",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "26178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "46204",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043539",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

Verify at the official NPI Registry.