JONATHAN EDWARD HENDRZAK DO
NPI 1639829377
Family Medicine in Wilmington, NC

Q: What is Jonathan Hendrzak's NPI number?

The NPI number for Jonathan Hendrzak is 1639829377. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Jonathan Hendrzak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Hendrzak was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 25, 2022PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000(910) 667-5650 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jonathan Edward Hendrzak Do NPPES

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

JONATHAN EDWARD HENDRZAK DO (NPI 1639829377) is an individual family medicine provider in Wilmington, North Carolina, licensed in North Carolina (HEND-GK3L8H) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639829377

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN EDWARD HENDRZAKCredential: DO

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing Address2523 Delaney AveWilmington, NC 28403-6003 · (910) 763-5522

Phone(910) 343-7000

Fax(910) 667-5650

Sole ProprietorYes

Enumeration DateMarch 25, 2022

Last NPPES UpdateMarch 29, 2023

NPPES CertifiedMarch 29, 2023

✔ NPI 1639829377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · HEND-GK3L8H

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License HEND-GK3L8H (NC)

2131 S 17TH ST, Wilmington, NC 28401

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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)

Jonathan Edward Hendrzak Do 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 28401 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

NEW HANOVER REGIONAL MEDICAL CENTER

Rehabilitation Hospital