TIM HENDRICKS
NPI 1912582776
Radiology - Diagnostic Radiology in Las Vegas, NV

Q: What is Tim Hendricks's NPI number?

The NPI number for Tim Hendricks is 1912582776. It was assigned to this individual provider in the NPPES registry on March 13, 2021.

Q: What is Tim Hendricks's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Tim Hendricks was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 13, 2021PECOS Enrolled

4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191(702) 653-2850 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 16, 2026, Mar 13, 2021 (2 updates tracked since 2021).

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About Tim Hendricks NPPES

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

TIM HENDRICKS (NPI 1912582776) is an individual diagnostic radiology provider in Las Vegas, Nevada, licensed in Utah (12964222-1204) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912582776

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameTIM HENDRICKS

Location Address4700 LAS VEGAS BLVD NLas Vegas, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NLas Vegas, NV 89191-6600

Phone(702) 653-2850

Sole ProprietorYes

Enumeration DateMarch 13, 2021

Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1912582776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in UT · 12964222-1204

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4700 LAS VEGAS BLVD N, Las Vegas, NV 89191

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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)

Tim Hendricks 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 89191 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

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.

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