Active NPI
Michael Gregory Kendrick, M.D.
- Diagnostic Radiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-8555
- Practice address
- 800 Fair Park Blvd
Little Rock, AR 72204-1720 - Phone
- (501) 404-8007
- Fax
- (501) 904-3620
- NPI assigned
- Apr 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 036161743 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | MD449095 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | E-8555 | AR | Primary |
Addresses
Primary practice location
800 Fair Park Blvd
Little Rock, AR 72204-1720
Mailing address
800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 404-8007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202861001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, IL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 500-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036161743 | IL | MD | Diagnostic Neuroimaging (Radiology) Physician |
| E-8555 | AR | MD | Diagnostic Radiology Physician |
| MD449095 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Imaging SC | Current | Accepting new patients | |
| Suburban Orthopaedics LTD | Current | Accepting new patients | |
| Orthoarkansas, PA | Current | Accepting new patients | |
| Satish a Shah MD PC | Current | Accepting new patients | |
| Orthoarkansas, PA | Current | Accepting new patients | |
| St Vincent Infirmary Medical Center | Past | Accepting new patients | |
| Scancare Diagnostics LLC | Past | Accepting new patients |
Locations
353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101
800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007
1110 W Schick Rd
Bartlett, IL 60103
Phone (630) 233-7029
20 Expedition Trl
Ste 100
Gettysburg, PA 17325
Phone (717) 334-8333
20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033
20 Expedition Trl
Ste 103
Gettysburg, PA 17325
Phone (717) 337-5991
Organizations & group practices 7
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.
-
- Specialist
- Little Rock, AR
- NPI 1952336869
-
- Specialist
- Gettysburg, PA
- NPI 1982734976
-
- Orthopaedic Surgery Physician
- Bartlett, IL
- NPI 1275749475
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- North Little Rock, AR
- NPI 1326546672
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
-
- Mobile Radiology Clinic/Center
- Chicago, IL
- NPI 1154744654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1801069331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FAIR PARK BLVD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041720",
"telephone_number": "501-404-8007",
"fax_number": "501-904-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 FAIR PARK BLVD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041720",
"telephone_number": "501-404-8007",
"fax_number": "501-904-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "MICHAEL",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-04",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "IL",
"license": "036161743",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD449095",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-8555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202861001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.