Ronak Dana Hendry, M.D.
Individual provider Active NPI Emergency Medicine Physician · Washington, MO
NPI 1902005648 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1902005648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2007017155 (MO)
- Practice address
- 901 E 5TH St
Washington, MO 63090-3127 - Phone
- (636) 239-8000
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rush Medical College of Rush University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community First Healthcare of Illinois Inc
Practice addresses (Care Compare)
5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000
Hospital & facility affiliations
- Community First Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, IL, IN, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825000281 | TX | Practitioner - Emergency Medicine | 4981731320 | Reassigns benefits to 2 organizations |
| I20170614002926 | IL | Practitioner - Emergency Medicine | 4981731320 | Reassigns benefits to 4 organizations |
| I20190110000774 | IN | Practitioner - Emergency Medicine | 4981731320 | Reassigns benefits to 3 organizations |
| I20191015002261 | OH | Practitioner - Emergency Medicine | 4981731320 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007017155 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt Park Health Emergency Medicine, LLC | Emergency Medicine | Current |
Accepting new patients |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current |
Accepting new patients |
| Emergency Associates of Central Texas PA | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current |
Accepting new patients |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current |
Accepting new patients |
| Indiana Emergency Professionals PC | Emergency Medicine | Current |
Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current |
Accepting new patients |
| App of Illinois Ed PLLC | Emergency Medicine | Current |
Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current |
Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current |
Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current |
Accepting new patients | |
| Medical Center Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Dougherty Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| North County Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500
1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- rhendry889572@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036143022 | IL | |
| Emergency Medicine Physician | 207P00000X | 2007017155 | MO | Yes |
Addresses
Primary practice location
901 E 5TH St
Washington, MO 63090-3127
Mailing address
901 E 5TH St
Washington, MO 63090-3127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902005648 | Medicaid | MO |
Other providers in Washington, MO
- Amanda Heisel
- Rachel Nicole Heitman
- Amanda Leanna Hellebusch
- Dana L Hellebusch
- Emily A Helton
- Branna Jo-Chapman Hensley
- Sara K Herbert
- Jean Kirsten Hertz
- Patricia Lynne Hewkin
- Kelsie Brooke Hinkl
All providers in Washington, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.