Individual provider Active NPI

Dennis W Rhoades, D.O.

  • Family Medicine Physician
  • Saint Marys, PA
National Provider Identifier
1053401133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-005083-L Issued in PA
Practice address
757 Johnsonburg Rd
Ground Floor Rehab Building
Saint Marys, PA 15857-3488
Phone
(814) 834-6300
Fax
(814) 781-1321
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OS-005083-L PA Primary

Addresses

Primary practice location

757 Johnsonburg Rd
Ground Floor Rehab Building
Saint Marys, PA 15857-3488

Mailing address

757 Johnsonburg Rd
Ground Floor Rehab Building
Saint Marys, PA 15857-3488
Phone (814) 834-6300

Other identifiers 1

IdentifierTypeStateIssuer
00964428MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, VA, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081007000699 SC Practitioner - Family PracticePractitioner - General Practice 2062586332 Reassigns benefits to 1 organization
I20220217001267 FL Practitioner - Family Practice 2062586332 Reassigns benefits to 1 organization
I20230410000935 VA Practitioner - Family Practice 2062586332 Reassigns benefits to 1 organization
I20230413000827 DC Practitioner - Family Practice 2062586332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians

Practice addresses (Care Compare)

8445 Dorchester Rd
North Charleston, SC 29420-7307
Phone (843) 640-5008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-005083-LPAMDFamily Medicine Physician
1155SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Carenow Urgent Care, LLC CurrentSince Aug 9, 2021 Accepting new patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Feb 15, 2023 Accepting new patients
Jacksonville Carenow Urgent Care, LLC CurrentSince Dec 3, 2021 Accepting new patients
Heathrow Internal Medicine LLC Family Medicine PastSince Mar 1, 2022 Accepting new patients

Locations

4888 Town Center Pkwy
Unit 107
Jacksonville, FL 32246
Phone (904) 800-1735

515 Saint James Ave
Goose Creek, SC 29445
Phone (843) 507-8925

8445 Dorchester Rd
North Charleston, SC 29420
Phone (843) 640-5008

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3456 Historic Sully Way
Chantilly, VA 20151
Phone (703) 435-3838

4995 Westone Plz
Chantilly, VA 20151
Phone (571) 441-3980

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053401133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 JOHNSONBURG RD",
            "address_2": "GROUND FLOOR REHAB BUILDING",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573488",
            "telephone_number": "814-834-6300",
            "fax_number": "814-781-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 JOHNSONBURG RD",
            "address_2": "GROUND FLOOR REHAB BUILDING",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573488",
            "telephone_number": "814-834-6300",
            "fax_number": "814-781-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "DENNIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-005083-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00964428",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.