Individual provider Active NPI

Rodney Desmond Kidd Jr., M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1053494674
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L7452 Issued in TX
Practice address
7418 John Smith
Suite 218
San Antonio, TX 78229-6020
Phone
(210) 614-0959
Fax
(210) 614-7522
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X CDR.0005235 CO
Diagnostic Radiology Physician 2085R0202X L7452 TX Primary

Addresses

Primary practice location

7418 John Smith
Suite 218
San Antonio, TX 78229-6020

Mailing address

7375 W 52ND Ave Ste 210
Arvada, CO 80002-3748
Phone (303) 223-4448

Other practice location 1

340 Peak One Dr
Frisco, CO 80443
Phone (970) 668-3300

Other identifiers 2

IdentifierTypeStateIssuer
185135405MedicaidTX
P00866534OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20251028002134 CO Practitioner - Diagnostic Radiology 4880696269 Reassigns benefits to 1 organization
I20260113001589 FL Practitioner - Diagnostic Radiology 4880696269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0005235COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC CurrentSince Jan 7, 2026 Accepting new patients
Ohri, LLC CurrentSince Jan 7, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 7, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 7, 2026 Accepting new patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology PastSince Nov 3, 2025 Accepting new patients
Brazos Emergency Physicians, PA Past Accepting new patients
Innovative Radiology PA Diagnostic Radiology PastSince May 1, 2015 Accepting new patients

Locations (25 of 47)

7375 W 52nd Ave
Ste 210
Arvada, CO 80002
Phone (720) 741-0810

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

1700 S Potomac St
Aurora, CO 80012
Phone (303) 418-7600

4715 Arapahoe Ave
Boulder, CO 80303
Phone (303) 385-2000

400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

6031 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 577-2555

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

1800 N Williams St
Ste 100
Denver, CO 80218
Phone (303) 285-5020

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

31 Telemark Dr
Fraser, CO 80442
Phone (302) 223-4448

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 351-0999

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

11700 W 2nd Pl
Ste 410
Lakewood, CO 80228
Phone (720) 321-8280

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

11700 W 2nd Pl
Ste 1
Lakewood, CO 80228

11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160

255 S Routt St
Lakewood, CO 80228
Phone (720) 321-8920

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1053494674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 W 52ND AVE STE 210",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023748",
            "telephone_number": "303-223-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 JOHN SMITH",
            "address_2": "SUITE 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296020",
            "telephone_number": "210-614-0959",
            "fax_number": "210-614-7522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Peak One Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "80443",
            "country_code": "US",
            "telephone_number": "970-668-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDD",
        "first_name": "RODNEY",
        "middle_name": "DESMOND",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CDR.0005235",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L7452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185135405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00866534",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.