DR. SUSAN K HENDRICKS MD NPI 1730169186

NPI Information

NPI: 1730169186
Provider Name: DR. SUSAN K HENDRICKS, MD
Classification: Pediatrics - 2080N0001X
Specialization: Neonatal-Perinatal Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 590 15TH ST S
APT 145
ARLINGTON, VA
ZIP 22202
Phone: (703) 418-0234

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NPI Details

DR. Susan K Hendricks, MD is a neonatal-perinatal medicine pediatrics in Arlington, VA with 47 years of experience. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Susan K Hendricks, MD NPI is 1730169186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

590 15TH ST S
APT 145
ARLINGTON, VA
ZIP 22202-872
Phone: (703) 418-0234

The NPI 1730169186 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 enumeration date for this NPI number is 1/20/2006 and was last updated on 10/20/2025.

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
1	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	304262	LOUISIANA	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	4201042151	MICHIGAN	Yes
3	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	28299	NEVADA	No
4	207VG0400X	Obstetrics & Gynecology	Gynecology	28299	NEVADA	No

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
1	CA2184	OTHER	MICHIGAN	RAILROAD MEDICARE
2	2433610	MEDICAID	LOUISIANA
3	4504927	MEDICAID	MICHIGAN
4	06979534	MEDICAID	MISSISSIPPI

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: 11/21/2025

NPI Synchronization or Removal

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