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DR. MARK D. HENDRICKS M.D.
NPI 1164409983
Internal Medicine in San Diego, CA

Active since December 22, 2005PECOS Enrolled
2525 CAMINO DEL RIO S STE 165, SAN DIEGO, CA 92108(619) 543-9655(619) 543-9658 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2022, Jan 9, 2019 (2 updates tracked since 2019).

About Dr. Mark D. Hendricks M.d. NPPES

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

DR. MARK D. HENDRICKS M.D. (NPI 1164409983) is an individual internal medicine provider in San Diego, California, licensed in California (G62541) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164409983
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK D. HENDRICKSCredential: M.D.
Location Address2525 CAMINO DEL RIO S STE 165San Diego, CA 92108-3742
Mailing Address2525 Camino Del Rio S Ste 165San Diego, CA 92108-3742 · (619) 543-9655 · Fax (619) 543-9658
Phone(619) 543-9655
Fax(619) 543-9658
Sole ProprietorYes
Enumeration DateDecember 22, 2005
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1164409983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G62541
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2525 CAMINO DEL RIO S STE 165, San Diego, CA 92108
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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)

Dr. Mark D. Hendricks M.d. 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 92108 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mark Hendricks's NPI number?

The NPI number for Mark Hendricks is 1164409983. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Mark Hendricks located?

Mark Hendricks practices at 2525 Camino Del Rio S Ste 165, San Diego, CA 92108. The listed phone number is (619) 543-9655.

What is Mark Hendricks's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Hendricks enrolled in Medicare?

Yes. Mark Hendricks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Hendricks was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.