SEAN DAVID HENDRICKS M.D. NPI 1164583084

NPI Information

  • NPI: 1164583084
  • Provider Name: SEAN DAVID HENDRICKS, M.D.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2020 W ILES AVE
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (217) 492-9629

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NPI Details

Sean David Hendricks, M.D. is a retina specialist ophthalmology in Springfield, IL. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Sean David Hendricks, M.D. NPI is 1164583084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2020 W ILES AVE
SPRINGFIELD, IL
ZIP 62704-174
Phone: (217) 492-9629

The NPI 1164583084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Imaging of retina (HCPCS:92134)
  • Injection of drug into eye (HCPCS:67028)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Photography of the retina (HCPCS:92250)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Established patient complete exam of visual system (HCPCS:92014)

The enumeration date for this NPI number is 12/13/2006 and was last updated on 12/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology20248MISSISSIPPINo
2207W00000XOphthalmology42382TENNESSEENo
3207W00000XOphthalmology026330LOUISIANANo
4207WX0107XOphthalmologyRetina Specialist036147214ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100226767MEDICAIDMISSISSIPPI
2302I182564OTHERMISSISSIPPIMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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