TINA R HENDRICK (MD) – Obstetrics & Gynecology Physician, NPI 1538241104
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
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Provider Addresses for TINA R HENDRICK (MD)
East Clifty Drive, Madison, Jefferson County, Indiana, 47250, United States
Madison, IN 47250
Phone: (812) 801-0856
Fax: (812) 801-0770
Type: Location
642 W Hospital Rd
Paoli, IN 474549672
Phone: (812) 723-7450
Fax: (812) 723-7508
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 474089059
Phone: (812) 918-3400
Fax: (812) 335-7371
Type: Location
Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States
EVANSVILLE, IN 477323395
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070501000362 | I | Obstetrics/Gynecology | IN | TBD |
| I20230623001455 | I | Obstetrics/Gynecology | OH | TBD |
| I20230929002489 | I | Obstetrics/Gynecology | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47250)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY |
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