MICHAEL J HENDRICKSON
NPI 1639811268
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Michael Hendrickson's NPI number?

The NPI number for Michael Hendrickson is 1639811268. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Michael Hendrickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 13, 2022PECOS Enrolled

9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 27, 2025, Apr 13, 2022 (2 updates tracked since 2022).

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About Michael J Hendrickson NPPES

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

MICHAEL J HENDRICKSON (NPI 1639811268) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1639811268

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL J HENDRICKSON

Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-2621

Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 726-5820

Phone(216) 444-2200

Sole ProprietorYes

Enumeration DateApril 13, 2022

Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1639811268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9500 EUCLID AVE # JJ24, Cleveland, OH 44195

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Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 726-5820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Hendrickson 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.

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER JAMHOUR MD

Student in an Organized Health Care Education/Training Program