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Deactivated NPI 1750381935 Deactivated / Inactive NPI Male Practitioner

Dr. John C Hendricks , MD

Anesthesiology • Rock Island, IL

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Hendricks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2005
NPI Deactivation Date March 22, 2006
Total Practice Duration ~20 Years of Practice (1986 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. John Hendricks, MD was a registered Anesthesiology in Rock Island, IL. Prior to record deactivation on 2006-03-22, Dr. Hendricks completed approximately 20 years of clinical practice following graduation from Southern Illinois University School Of Medicine in 1986.

Dr. Hendricks accepted Medicare assignment.

Historical Medicare Part B clinical services included anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for exam of colon using an endoscope, anesthesia for procedure on large bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2701 17th St

Rock Island, IL 612015351

Telephone 3097795000
Associated Practice Facility / Clinic
🏢 Advanced Radiology, S.c. Facility NPI 1790773539

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Rock Island, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +0.7 yrs vs City Avg
City Avg: 39.3 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Rock Island, IL (2670 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hendricks (40 Years) 40 Yrs
Rock Island Specialty Average (39.3 Years) 39.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
81 79 $685.80 $120.43
00812 Anesthesia for exam of colon using an endoscope
70 70 $688.29 $98.33
00811 Anesthesia for procedure on large bowel using an endoscope
20 20 $687.50 $118.01
00813 Anesthesia for procedure on small and large bowel using an endoscope
20 20 $819.50 $144.99
00142 Anesthesia for lens surgery
17 17 $614.71 $99.80

Medical Specialties & State Licenses

CMS Verified: 2024-05-23
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License IL 036076685

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License IA MD-30791

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036076685 (IL)
Medicaid State Provider ID
0990986 (IA)

Secondary Practice Locations

200 Hawkins Dr

Iowa City, IA 522421009

Phone: 3193562633

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003923467

Doctor of Medicine (M.D.)

Brittany Redmond

Hospitalist

NPI 1023578655
Dr. Lester Kelty , MD

Emergency Medicine

NPI 1053371989

Doctor of Medicine (M.D.)

Kristyn Raya , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1063047371

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Stephanie Schradeya

Specialist/Technologist, Other - Surgical Assistant

NPI 1063218980
Supriya Jalukar , MS

Occupational Therapist

NPI 1063965424

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated May 23, 2024

Recorded as JOHN HENDRICKS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2024

Anesthesiology (License #MD-30791 in IA)

📍
Updated Practice Location February 26, 2008

Registered at 2701 17TH ST, ROCK ISLAND, IL 612015351 (Tel: 3097795000)

📍
Updated Business Mailing Address February 26, 2008

Registered at PO BOX 689, LAKE FOREST, IL 600450689 (Tel: 8476152200)

👤
Provider Name / Credentials Updated February 26, 2008

Recorded as JOHN HENDRICKS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2008

Anesthesiology

🔄
NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

⚠️
NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

🟢
Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750381935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: May 23, 2024
Deactivation Date: March 22, 2006
Sole Proprietor: No

Mailing Address

Po Box 689

Lake Forest, IL 600450689

Phone: 8476152200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.