Individual provider Active NPI

Timothy W Hendrix, M.D.

  • Family Medicine Physician
  • Sanford, FL
National Provider Identifier
1851405401
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 65142 Issued in FL
Practice address
308 N Entrance Rd
Sanford, FL 32771-7418
Phone
(407) 330-3412
Fax
(407) 330-6849
NPI assigned
Aug 19, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 04-43171 KS
Family Medicine Physician 207Q00000X ME 65142 FL Primary

Addresses

Primary practice location

308 N Entrance Rd
Sanford, FL 32771-7418

Mailing address

711 Centenary Loop
Apartment 203
Lake Mary, FL 32746-1506
Phone (407) 482-9490

Other practice location 1

9099 W 135th St
Overland Park, KS 66221-2005
Phone (913) 549-4242

Other practice location 2

11245 Shawnee Mission Pkwy
Shawnee, KS 66203-3308
Phone (913) 268-4455

Other practice location 3

14744 W 119th St
Olathe, KS 66062-8602
Phone (913) 839-1759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100831000865 FL Practitioner - Family Practice 4789708587 Reassigns benefits to 2 organizations
I20200312000134 NC Practitioner - Family Practice 4789708587 Reassigns benefits to 1 organization
I20211105002197 KS Practitioner - Family Practice 4789708587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11245 Shawnee Mission Pkwy
Shawnee, KS 66203-3308
Phone (913) 268-4455

1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone (386) 304-7320

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone (407) 934-2273

19015 US Hwy 441
Mount Dora, FL 32757-6708
Phone (352) 383-3484

2293 S Woodland Blvd
Adventhealth Centra Care Deland
Deland, FL 32720-8633
Phone (386) 279-7010

2325 W Fairbanks Ave
Winter Park, FL 32789-4511

250 N Alafaya Trail
Adventhealth Centra Care Waterford Trail
Orlando, FL 32825-4315
Phone (407) 381-4810

2540 Lee Rd
Winter Park, FL 32789-1746
Phone (407) 629-9281

2609 S Orange Ave
Orlando, FL 32806-4547
Phone (407) 203-0656

3005 Daniels Rd
Winter Garden, FL 34787-7002
Phone (407) 654-8186

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412

8010 Red Bug Lake Rd
Oviedo, FL 32765-8084
Phone (407) 977-3677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 65142FLMDFamily Medicine Physician
04-43171KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family Medicine Current Accepting new patients
Urgent Care Centers of Brevard County LLC Family Medicine CurrentSince Jul 20, 2023 Accepting new patients
Urgent Care Centers of Brevard County LLC Family Medicine Current Accepting new patients
Fletcher Hospital Inc Family Medicine CurrentSince Dec 22, 2019 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Nov 22, 1996 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Oct 5, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. Family Medicine CurrentSince Nov 22, 1996 Accepting new patients
Fletcher Hospital Inc. CurrentSince Dec 22, 2019 Accepting new patients
Urgent Care Centers of Brevard County LLC Family Medicine CurrentSince Jul 20, 2023 Accepting new patients
Shawnee Mission Medical Center, Inc. Family Medicine CurrentSince Oct 5, 2021 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Maitland, FL 32751
Phone (407) 200-2273

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

14744 W 119th St
Olathe, KS 66062
Phone (913) 839-1759

9099 W 135th St
Overland Park, KS 66221
Phone (913) 373-2230

436 Airport Rd
Ste 20
Arden, NC 28704
Phone (407) 200-2352

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: thendrix73447@adventhealth.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1851405401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CENTENARY LOOP",
            "address_2": "APARTMENT 203",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461506",
            "telephone_number": "407-482-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N ENTRANCE RD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717418",
            "telephone_number": "407-330-3412",
            "fax_number": "407-330-6849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9099 W 135th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662212005",
            "country_code": "US",
            "telephone_number": "913-549-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11245 Shawnee Mission Pkwy",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662033308",
            "country_code": "US",
            "telephone_number": "913-268-4455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14744 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660628602",
            "country_code": "US",
            "telephone_number": "913-839-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-43171",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 65142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.