Individual provider Active NPI

Arddhy Bulanadi Rodriguez, CRNP

  • Acute Care Nurse Practitioner
  • Abingdon, MD
National Provider Identifier
1003476748
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R200049 Issued in MD
Practice address
128 Lucca LN
Abingdon, MD 21009-1476
Phone
(240) 354-4087
NPI assigned
Jun 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R200049 MD Primary

Addresses

Primary practice location

128 Lucca LN
Abingdon, MD 21009-1476

Mailing address

6710A Rockledge Dr Ste 400
Bethesda, MD 20817-2847
Phone (240) 763-2496

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address arddhy.rodriguez@waldenu.edu
Direct Messaging Address arodriguez@istattelemedicine.com Health Information Exchange (HIE) iStat Telemedicine Providers L.L.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200115000970 MD Practitioner - Nurse Practitioner 9830524164 Reassigns benefits to 6 organizations
I20221025003483 DE Practitioner - Nurse Practitioner 9830524164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians
Adfinitas Health at Upper Chesapeake Aberdeen LLCGroup PAC ID 8022475581, 44 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

660 McHenry Rd
Aberdeen, MD 21001-2682
Phone (443) 843-5000

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Istat Telemedicine Providers L.L.C. Acute Care CurrentSince Feb 7, 2021 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince May 30, 2023 Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 1, 2022 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC CurrentSince Jul 1, 2023 Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 1, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 13, 2022 Accepting new patients
Greater Baltimore Medical Center, Inc. Acute Care CurrentSince May 30, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 13, 2022 Accepting new patients
Adfinitas Health at Upper Chesapeake Aberdeen LLC CurrentSince Jul 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake, LLC CurrentSince Jul 1, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince Nov 19, 2019 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

6535 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-3779

Interoperability endpoints

  • Direct secure messaging: arodriguez651803@direct.umm.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1003476748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710A ROCKLEDGE DR STE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172847",
            "telephone_number": "240-763-2496",
            "fax_number": "240-763-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LUCCA LN",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091476",
            "telephone_number": "240-354-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ARDDHY",
        "middle_name": "BULANADI",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R200049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arddhy.rodriguez@waldenu.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "70 Upper Rock Cir Apt 238",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208504292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodriguez@istattelemedicine.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "iStat Telemedicine Providers L.L.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6710A Rockledge Dr Ste 400",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208172847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.