Active NPI
Mark P Hinrichs, MD
- Internal Medicine Physician
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4261
- Practice address
- 1532 11TH St W
Dickinson, ND 58601-3670 - Phone
- (701) 290-8213
- NPI assigned
- Sep 30, 2005
- Last updated
- Apr 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15252 | Medicaid | ND |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4261 | ND | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| St Joseph's Hospital and Health Center | Current | Accepting new patients | |
| St. Joseph's Hospital and Health Center | Current | 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.
-
dba CHI St Alexius Health Dickinson Medical Clinic
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
-
dba CHI St. Alexius Health Beach Family Clinic
- Rural Health Clinic/Center
- Beach, ND
- NPI 1669491262
-
dba CHI St Alexius Health Dickinson
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.