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LANDON STEVEN HENDRICKSON MD
NPI 1134749559
Dermatology in Oklahoma City, OK

Active since April 26, 2020PECOS Enrolled
1000 NE 13TH ST # 1C, OKLAHOMA CITY, OK 73104(405) 271-6110 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Apr 26, 2020 (2 updates tracked since 2020).

About Landon Steven Hendrickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANDON STEVEN HENDRICKSON MD (NPI 1134749559) is an individual dermatology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (43762) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134749559
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameLANDON STEVEN HENDRICKSONCredential: MD
Location Address1000 NE 13TH ST # 1COklahoma City, OK 73104-5040
Mailing Address1000 Ne 13th St # 1cOklahoma City, OK 73104-5040 · (405) 271-6110
Phone(405) 271-6110
Sole ProprietorNo
Enumeration DateApril 26, 2020
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1134749559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OK · 43762
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1000 NE 13TH ST # 1C, Oklahoma City, OK 73104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Landon Steven Hendrickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRASEMA GIPSON PA-C
Physician Assistant
1000 NE 13TH ST # 1C
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
INDIA ALEXANDRA LOYD MD
Dermatology
1000 NE 13TH ST # 1C
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
DR. OMAR HASNAT BARI MD
Dermatology
1000 NE 13TH ST # 1C
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6110
MARIA GABRIELLA PRUDHOMME NP
Nurse Practitioner (Family)
1000 NE 13TH ST # 1C
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landon Hendrickson's NPI number?

The NPI number for Landon Hendrickson is 1134749559. It was assigned to this individual provider in the NPPES registry on April 26, 2020.

Where is Landon Hendrickson located?

Landon Hendrickson practices at 1000 NE 13th St # 1C, Oklahoma City, OK 73104. The listed phone number is (405) 271-6110.

What is Landon Hendrickson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Landon Hendrickson enrolled in Medicare?

Yes. Landon Hendrickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Landon Hendrickson was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.