ED JERALD HENDRICKS M.D.
NPI 1700220092
Internal Medicine - Obesity Medicine in Roseville, CA
About Ed Jerald Hendricks M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ED JERALD HENDRICKS M.D. (NPI 1700220092) is an individual obesity medicine provider in Roseville, California, licensed in California (G22146) and active in the NPI registry since April 2013. He has opted out of Medicare through June 18, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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 CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ed Jerald Hendricks M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2013 through June 18, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ed Hendricks's NPI number?
The NPI number for Ed Hendricks is 1700220092. It was assigned to this individual provider in the NPPES registry on April 17, 2013.
Where is Ed Hendricks located?
Ed Hendricks practices at 2510 Douglas Blvd Suite 200, Roseville, CA 95661. The listed phone number is (916) 773-1191.
What is Ed Hendricks's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.
Is Ed Hendricks enrolled in Medicare?
No. Ed Hendricks has opted out of Medicare through June 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Ed Hendricks was last updated on April 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.
