Kerry Lane Hendershot, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K3586 Issued in TX

Practice address

7601 Quaker Ave
Lubbock, TX 79424

Phone

(806) 725-9653

Fax

(806) 725-9650

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Covenant Medical Group 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Direct Health Care Inc Home health agency, Lubbock, TX, CCN 677264
• Beyondfaith Homecare & Rehab LLC Home health agency, Lubbock, TX, CCN 679374
• Calvert Home Health Care, LLC Home health agency, Lubbock, TX, CCN 677109
• Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
• Compassion Home Health Care Home health agency, Lubbock, TX, CCN 748139
• Enlightened Heights Hospice and Palliative Care Hospice, Lubbock, TX, CCN 971510
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
• University Medical Center Hospital, Lubbock, TX, CCN 450686
• Lamb Healthcare Center Hospital, Littlefield, TX, CCN 450698

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khendershot1929486@oc.providencedirect.org

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.

• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD
• Covenant Medical Group

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895

  Family Medicine

  Care Compare group NPD
• Hale Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Plainview, TX
  • NPI 1649255829
  NPD (past)

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

• Beyondfaith Homecare & Rehab LLC

  • Home Health Agency
  • Lubbock, TX
  • NPI 1346247434
  Care Compare affiliation
• Calvert Home Health Care, LLC

  • Home Health Agency
  • Lubbock, TX
  • NPI 1801866306
  Care Compare affiliation
• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365

  Hospital

  Care Compare affiliation
• Direct Health Care, Inc.

  • Home Health Agency
  • Lubbock, TX
  • NPI 1871596197
  Care Compare affiliation
• Enlightened Heights Hospice LL C

  • Community Based Hospice Care Agency
  • Lubbock, TX
  • NPI 1174050462

  Hospice

  Care Compare affiliation
• Healthcare of West Texas LLC

  • Home Health Agency
  • Lubbock, TX
  • NPI 1710927983
  Care Compare affiliation
• Lamb Healthcare Center

  • General Acute Care Hospital
  • Littlefield, TX
  • NPI 1700854288

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • Land Ambulance
  • Lubbock, TX
  • NPI 1174620546

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
  • NPI 1538245717

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1679521652

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1821087164

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • Hearing and Speech Clinic/Center
  • Lubbock, TX
  • NPI 1831299114

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1700849544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PLACE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-7800",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-725-9653",
            "fax_number": "806-725-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSHOT",
        "first_name": "KERRY",
        "middle_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105375305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Baird Helfrich, MD
• Jordan Payne Hellums, PTA
• Jason Cade Helton, DC
• Keli Joy Hemingway, LCSW
• Hemmo a Bosscher, MD PA
• Bennett Ellen Hargrove Henderson, M.D.
• Brennon Gene Henderson
• Richard A Henderson, M.D.
• Tiffany D Henderson, LMT
• Katie L. Hendley, MD

• All providers in Lubbock, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.