Individual provider Active NPI

Mack Piper Hendrix, M.D.

  • Vascular & Interventional Radiology Physician
  • Richmond, VA
National Provider Identifier
1750546701
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101253236 Issued in VA
Practice address
1201 Broad Rock Blvd
Richmond, VA 23224
Phone
(804) 675-5000
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101253236 VA
Vascular & Interventional Radiology Physician 2085R0204X 0101253236 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd
Richmond, VA 23224

Mailing address

4705 Grandway Rd.
Richmond, VA 23226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150910002884 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2860630654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253236VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology Past Accepting new patients

Locations

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

1464 Mount Pleasant Rd
Ste 13
Chesapeake, VA 23322
Phone (757) 410-4580

1021 Eden Way N
Ste 109
Chesapeake, VA 23320
Phone (757) 312-6267

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

Interoperability endpoints

  • Direct secure messaging: mhendrix2768682@direct.bsmhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1750546701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 GRANDWAY RD.",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23224",
            "telephone_number": "804-675-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "MACK",
        "middle_name": "PIPER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101253236",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101253236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.