Daniel E Hendricks Jr., MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD29258 Issued in OR

Practice address

2314 NW Kings Blvd Ste a
Corvallis, OR 97330-3925

Phone

(541) 758-5047

Fax

(541) 758-3713

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of Virginia School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corvallis Radiology PCGroup PAC ID 2062300676, 54 clinicians

Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
• Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
• Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
• Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323
• Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

Merit-based Incentive Payment System (MIPS)

Final score

89.21 of 100Reported as group

Quality

85.3

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.65 of 100Reported as group

Quality

86.8

Promoting interoperability

100

Improvement activities

40

Cost

86.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Corvallis Radiology PC

  • Diagnostic Radiology Physician
  • Corvallis, OR
  • NPI 1881651289
  Medicare reassignment Care Compare group NPD
• Samaritan Pacific Health Services, Inc

  • Critical Access Hospital
  • Newport, OR
  • NPI 1801847066
  Medicare reassignment NPD
• Samaritan Pacific Health Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Newport, OR
  • NPI 1174888010
  Medicare reassignment NPD
• Corvallis MRI a Joint Venture

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corvallis, OR
  • NPI 1952529620
  NPD
• East Linn MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lebanon, OR
  • NPI 1417135880
  NPD
• Samaritan Pacific Health Services, Inc

  • Rural Health Clinic/Center
  • Depoe Bay, OR
  • NPI 1164781142
  NPD
• Good Samaritan Hospital Corvallis

  • General Acute Care Hospital
  • Corvallis, OR
  • NPI 1962453134
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1013273275

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1104182369

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • General Acute Care Hospital
  • Albany, OR
  • NPI 1154372340
  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1306679816

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, OR
  • NPI 1326755158

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Albany, OR
  • NPI 1346620408

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Rheumatology Physician
  • Albany, OR
  • NPI 1407564354

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Surgery Physician
  • Albany, OR
  • NPI 1467718627

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1508130717

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1558776047

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Sleep Disorder Diagnostic Clinic/Center
  • Albany, OR
  • NPI 1700333184

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740546431

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1689882730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1418",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391418",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 NW KINGS BLVD STE A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101237463",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD29258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500606405",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhendricks7596@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Charles Helms
• Vara Lynn Helvey, B.A.
• Linda Henderson
• Sara Nicole Henderson
• Isaac Hendler, M.AC., L.AC.
• Krista J Hendricks, MD
• Christine Margaret Hendrickson, MSW
• Kari Marie Hendrickson, RDN, LD
• Mackenzie Ann Hendrickson
• Samantha Renee Hendrickson, RN

• Vascular & Interventional Radiology Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Vascular & Interventional Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.