1. Home
  2. Directory
  3. Hawaii
  4. Tripler Army Medical Center
  5. Urology
  6. NPI Profile

DR. ANDREW MEDENDORP M.D.
NPI 1841346871
Urology - Urogynecology and Reconstructive Pelvic Surgery in Tripler Army Medical Center, HI

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-2595 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2025, Sep 9, 2021 (2 updates tracked since 2021).

About Dr. Andrew Medendorp M.d. NPPES

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

DR. ANDREW MEDENDORP M.D. (NPI 1841346871) is an individual urogynecology and reconstructive pelvic surgery provider in Tripler Army Medical Center, Hawaii, licensed in Nebraska (23990) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (2005).

NPPES Registry Identity

NPI1841346871
Entity TypeIndividualMale
Primary Taxonomy2088F0040X
Provider Legal NameDR. ANDREW MEDENDORPCredential: M.D.
Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001
Mailing Address1 Jarrett White RdTripler Army Medical Center, HI 96859-5001
Phone(808) 433-2595
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2005
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1841346871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License✔ Licensed in NE · 23990
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedUrologyTaxonomy 208800000X · License 042.0012951 (VT), 23990 (NE)
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859
Open in Google Maps ↗

Other Identifiers 1

Medicaid1023483VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Texas, HMSA and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Medendorp M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284896739
PECOS Enrollment IDI20211018000063, I20221206001520
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Andrew Medendorp reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maui Health System A Kaiser Foundation Hospitals LLC
73 mi
Critical Access
628 SEVENTH STREET
Lana'i City, HI 96763
  • Reassigned Medicare billing, Hawaii enrollment
  • 138 clinicians in this Medicare group
NPI 1336501634 (808) 545-6411
Kauai Medical Clinic
104 mi
Multi-Specialty
3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766
  • Reassigned Medicare billing, Hawaii enrollment
  • 298 clinicians in this Medicare group
NPI 1376596643 (808) 245-1500
Monument Health Rapid City Hospital, Inc.
3,445 mi
End-Stage Renal Disease (ESRD) Treatment
132 YANKEE ST
Spearfish, SD 57783
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1255415246 (605) 644-9000
Wellspan Medical Group
4,778 mi
Family Medicine
2 KEEFER DR
Mercersburg, PA 17236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1407568298 (717) 328-2119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims16 services$8.72 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims130 services$7.46 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier11 claims130 services$3.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

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 Andrew Medendorp's NPI number?

The NPI number for Andrew Medendorp is 1841346871. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Andrew Medendorp located?

Andrew Medendorp practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-2595.

What is Andrew Medendorp's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Andrew Medendorp enrolled in Medicare?

Yes. Andrew Medendorp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Medendorp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Medendorp reassigns Medicare benefits to 4 organizations: Maui Health System A Kaiser Foundation Hospitals LLC (Lana'i City, HI), Kauai Medical Clinic (Lihue, HI), Monument Health Rapid City Hospital, Inc. (Spearfish, SD) and Wellspan Medical Group (Mercersburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Medendorp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Medendorp accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Texas, HMSA, Oscar Insurance Company and Sanford Health Plan and 1 other insurer list Andrew Medendorp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Medendorp affiliated with any hospitals?

According to CMS data, Andrew Medendorp is affiliated with Wilcox Memorial Hospital and Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Medendorp was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.