ED JERALD HENDRICKS M.D.
NPI 1700220092
Internal Medicine - Obesity Medicine in Roseville, CA
NPI Status: Active since April 17, 2013
Contact Information
2510 DOUGLAS BLVD
SUITE 200
ROSEVILLE, CA
ZIP 95661
Phone: (916) 773-1191
Fax: (916) 773-0498
- Individual
- Male
- Internal Medicine
- Obesity Medicine
- PECOS Enrolled
- Opted-Out Medicare
About ED HENDRICKS
This page provides the complete NPI Profile along with additional information for Ed Hendricks, an internist established in Roseville, California with a medical specialization in Internal Medicine, focusing in obesity medicine . The healthcare provider is registered in the NPI registry with number 1700220092 assigned on April 2013. The practitioner's primary taxonomy code is 207RB0002X with license number G22146 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1700220092
- Provider Name
- ED JERALD HENDRICKS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2510 DOUGLAS BLVD SUITE 200 ROSEVILLE, CA 95661
- Location Phone
- (916) 773-1191
- Location Fax
- (916) 773-0498
- Mailing Address
- 2510 DOUGLAS BLVD SUITE 200 ROSEVILLE, CA 95661
- Mailing Phone
- (916) 773-1191
- Mailing Fax
- (916) 773-0498
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-17-2013
- Last Update Date
- 04-17-2013
- Code Navigator
An internist like Ed Hendricks is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ed Hendricks opted out of Medicare effective on 06-18-2013 until 06-18-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Obesity Medicine
- Taxonomy Code
- 207RB0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G22146
- License State
- CA
- Taxonomy Description
- An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Medicare Participation & PECOS Enrollment Status
Ed Hendricks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-18-2013
Opt-Out End Date: 06-18-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700220092, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700220092, enumerated as an "individual" on April 17, 2013.
The provider is located at 2510 DOUGLAS BLVD SUITE 200 ROSEVILLE, CA 95661 and the phone number is (916) 773-1191.
Internal Medicine with taxonomy code 207RB0002X and a focus in Obesity Medicine.
