Kenneth Rogers, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

80242 Issued in NM

Practice address

6100 Pan American East Fwy NE
100
Albuquerque, NM 87109-3427

Phone

(505) 727-6200

Fax

(505) 727-9590

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1043316169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN EAST FWY NE",
            "address_2": "100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093427",
            "telephone_number": "505-727-6200",
            "fax_number": "505-727-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN EAST FWY NE",
            "address_2": "100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093427",
            "telephone_number": "505-727-6200",
            "fax_number": "505-727-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NM",
            "license": "80242",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "80242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017236",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody J Rogers, MD
• Julianna G Rogers, PHC
• Kate Davis Rogers, LPCC, LPAT
• Kayla Rogers, LPCC
• Kendall Muston Rogers, MD
• La Naeh Cilaya Rogers
• Lillian Rogers
• Sara Sears Rogers, DNP
• Sarah Rogers, LMHC
• Sarah Kathleen Rogers, APRN-CNP

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.