CLIFFORD DANIEL HENDRICKSON (MD) – Internal Medicine Physician, NPI 1992816888
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,968 INTERNAL MEDICINE in NC
Provider Addresses for CLIFFORD DANIEL HENDRICKSON (MD)
1500 EASTWAY DRIVE
KENT, OH 442420001
Phone:
Type: Mailing
PO BOX 60447
CHARLOTTE, NC 282600447
Phone:
Type: Mailing
1041 Kirkpatrick Rd Ste 100
Burlington, NC 272158066
Phone: (336) 538-0565
Fax: (336) 538-0564
Type: Location
North University Parkway, Foxcroft Townhomes, Oakview, High Point, Guilford County, North Carolina, 27261, United States
HIGH POINT, NC 272681050
Phone: (336) 841-4683
Fax: (336) 888-6353
Type: Location
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: 2024-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191029002013 | I | Internal Medicine | NC | TBD |
| I20240419000110 | I | Internal Medicine | OH | 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 44242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| General Practice | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| General Practice | OH | |
| Otolaryngology, Pediatric Medicine | MO | |
| Emergency Medicine | IL | |
| Internal Medicine | MI | |
| Internal Medicine, Hospitalist, Internal Medicine | MI | |
| Family Practice | OH | |
| General Practice | NC |
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