Individual provider Active NPI

Jody C Rhames, MD

  • Family Medicine Physician
  • Adrian, MI
National Provider Identifier
1003802570
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301075052 Issued in MI
Practice address
777 Kimole LN
Suite 230
Adrian, MI 49221-1478
Phone
(517) 263-5655
Fax
(517) 263-8012
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301075052 MI Primary

Addresses

Primary practice location

777 Kimole LN
Suite 230
Adrian, MI 49221-1478

Mailing address

777 Kimole LN
Suite 230
Adrian, MI 49221-1478
Phone (517) 263-5655

Other identifiers 6

IdentifierTypeStateIssuer
000000378442OtherANTHEM
0804601681OtherBCBS MI
4783565MedicaidMI
125902OtherCARECHOICES/PREFERRED CHO
P00254434OtherRRMC
7121036OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrhames13985@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000122 MI Practitioner - Family Practice 2062437221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

901 Kimole LN
Suite A1
Adrian, MI 49221-1491
Phone (517) 264-0590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301075052MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan Family Medicine CurrentSince Sep 30, 2005 Accepting new patients
Emma L. Bixby Medical Center Past Accepting new patients

Locations

777 Kimole Ln
Ste 230
Adrian, MI 49221
Phone (517) 263-5655

901 Kimole Ln
Ste A4
Adrian, MI 49221
Phone (517) 263-6140

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

901 Kimole Ln
Ste A1
Adrian, MI 49221
Phone (517) 264-0590

777 Kimole Ln
Ste 220
Adrian, MI 49221
Phone (517) 263-6464

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Interoperability endpoints

  • Direct secure messaging: jrhames13985@direct.promedica.org

Organizations & group practices 2

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 6

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1003802570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KIMOLE LN",
            "address_2": "SUITE 230",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211478",
            "telephone_number": "517-263-5655",
            "fax_number": "517-263-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KIMOLE LN",
            "address_2": "SUITE 230",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211478",
            "telephone_number": "517-263-5655",
            "fax_number": "517-263-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHAMES",
        "first_name": "JODY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301075052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000378442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0804601681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4783565",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARECHOICES/PREFERRED CHO",
            "identifier": "125902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00254434",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7121036",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrhames13985@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.