DR. JOHN HENRY KENDRICK (MD) – Surgery Physician, NPI 1902812019

DR. JOHN HENRY KENDRICK (MD) is a healthcare provider. based in Springdale, Arkansas. specializing in GENERAL SURGERY, GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. C5210 (AR). The NPI Number for DR. JOHN HENRY KENDRICK (MD) is 1902812019

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN HENRY KENDRICK (MD)
NPI
1902812019
Phone
(479) 738-1700
Address
4704 TROUT FARM RD
Enumeration Date
31 July 2006
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4799273100
Graduation Year
1977 (49 years ago)
PAC ID
4082511738
Group Practice PAC ID
1951295575
Professional Enrollment ID
I20031218000988
Address ID
AR727620899SP5230XDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in AR

Provider Addresses for DR. JOHN HENRY KENDRICK (MD)

  • 4704 TROUT FARM RD

    SPRINGDALE, AR 727628830

    Phone: (479) 738-1700

    Type: Location

  • Springdale Post Office, 429, Holcomb Street, Springdale, Washington County, Arkansas, 72764, United States

    SPRINGDALE, AR 727666220

    Phone:

    Type: Mailing

  • 5230, Willow Creek Drive, Springdale, Washington County, Arkansas, 72762, United States

    SUITE 201

    SPRINGDALE, AR 727620876

    Phone: (479) 927-3100

    Fax: (479) 927-3131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $655.

Total Amount is formed as General ($655) + Research ($0) + Ownership ($0) = $655.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($198).

Total Amount

$655

General + Research + Ownership

Payments

27

Total payment records

General Amount

$655

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031218000988IGeneral SurgeryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,416306$0
80305Testing for presence of drug, read by direct observation660126$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes44158$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg41636$0
J3010Injection, fentanyl citrate, 0.1 mg32422$0
View full utilization report →

Insurance plans in this area (ZIP 72762)

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Provider's Procedures

DR. JOHN HENRY KENDRICK (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYAR45378Diagnostic examination of large bowel using an endoscope1515
GENERAL SURGERYAR82270Stool analysis for blood to screen for colon tumors1111
GENERAL SURGERYAR85610Blood test, clotting time18936

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951295575View full group profile
NameSpecialtyState
Nurse PractitionerAR

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Frequently asked questions

Where can patients find DR. JOHN HENRY KENDRICK (MD)'s NPI?
You can confirm DR. JOHN HENRY KENDRICK (MD) with NPI 1902812019; it appears in the national provider directory.
Is DR. JOHN HENRY KENDRICK (MD) active in the national directory?
DR. JOHN HENRY KENDRICK (MD)'s public NPI profile is in an active state.
Does DR. JOHN HENRY KENDRICK (MD) list a primary specialty?
If you are matching referrals, note Surgery Physician for DR. JOHN HENRY KENDRICK (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JOHN HENRY KENDRICK (MD)?
The snapshot lists Springdale, Arkansas for DR. JOHN HENRY KENDRICK (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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