Individual provider Active NPI

Malcolm Rashad Hendricks, MD

  • Hospitalist Physician
  • Cullman, AL
National Provider Identifier
1700823697
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD.26531 Issued in AL
Practice address
1912 Al Highway 157
Cullman, AL 35058-0609
Phone
(256) 737-2000
Fax
(256) 737-2152
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26531 AL
Hospitalist Physician 208M00000X MD.26531 AL Primary

Addresses

Primary practice location

1912 Al Highway 157
Cullman, AL 35058-0609

Mailing address

1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2000

Other identifiers 2

IdentifierTypeStateIssuer
281654MedicaidAL
512-71462OtherALBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070207000192 AL Practitioner - Family PracticePractitioner - Preventive Medicine 5890797658 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Pinnacle Physician Group LLPGroup PAC ID 1254486699, 17 clinicians

Practice addresses (Care Compare)

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 690-1296

Hospital & facility affiliations

  • Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118
  • Baptist Memorial Rehabilitation Hospital-Madison Inpatient rehabilitation facility, Madison, MS, CCN 253028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.26531ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince May 4, 2020 Accepting new patients
American Family Care, LLC CurrentSince Oct 26, 2014 Accepting new patients
Whatley Health Services, Inc. CurrentSince May 4, 2020 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Oct 26, 2014 Accepting new patients
Summit Physician Group LLP Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Mar 4, 2022 Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Mar 4, 2022 Accepting new patients
Apollo Urgent Care LLC Family Medicine Past Accepting new patients
Vaughan Regional Medical Center LLC Past Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

7583 Wall Triana Hwy
Madison, AL 35757
Phone (256) 830-5777

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBIDD

Organizations & group practices 10

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 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1700823697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2000",
            "fax_number": "256-737-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2000",
            "fax_number": "256-737-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "MALCOLM",
        "middle_name": "RASHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "26531",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.26531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281654",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "512-71462",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.