Individual provider Active NPI

Mark P Hinrichs, MD

  • Internal Medicine Physician
  • Dickinson, ND
National Provider Identifier
1922095363
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4261 Issued in ND
Practice address
1532 11TH St W
Dickinson, ND 58601-3670
Phone
(701) 290-8213
NPI assigned
Sep 30, 2005
Last updated
Apr 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4261 ND Primary

Addresses

Primary practice location

1532 11TH St W
Dickinson, ND 58601-3670

Mailing address

1532 11TH St W
Dickinson, ND 58601-3670
Phone (701) 290-8213

Other identifiers 1

IdentifierTypeStateIssuer
15252MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20100726000465 ND Practitioner - Internal Medicine 9335045830 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4261NDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Health Center CurrentSince Jun 4, 2012 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jun 4, 2012 Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

Organizations & group practices 3

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1922095363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 11TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013670",
            "telephone_number": "701-290-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 11TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013670",
            "telephone_number": "701-290-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINRICHS",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "4261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15252",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.