Rodrigue Fontem, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-46768 Issued in KS

Practice address

701 N 1St St Ste D327
Springfield, IL 62702-3757

Phone

(217) 545-8856

Fax

(217) 545-7762

NPI assigned

Mar 31, 2015

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

General Surgery

Education

Indiana University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
• Bob Wilson Memorial Hospital Hospital, Ulysses, KS, CCN 171388

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Medicare reassignment Care Compare group NPD
• Satanta District Hospital and Long-Term Care

  dba Satanta District Hospital

  • Critical Access Hospital
  • Satanta, KS
  • NPI 1740230549
  Medicare reassignment NPD
• Commonspirit Kansas, Inc.

  • Obstetrics & Gynecology Physician
  • Garden City, KS
  • NPI 1376093468

  Surgery

  NPD
• St Catherine Hospital

  • Family Medicine Physician
  • Ulysses, KS
  • NPI 1528771029
  NPD
• Commonspirit Kansas, Inc.

  • Surgery Physician
  • Garden City, KS
  • NPI 1194438911
  NPD (past)
• Commonspirit Kansas, Inc.

  • Surgery Physician
  • Dodge City, KS
  • NPI 1699487611
  NPD (past)
• St. Catherine Hospital

  dba St Catherine Physician Services

  • Internal Medicine Physician
  • Garden City, KS
  • NPI 1053533844
  NPD (past)

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

• Commonspirit Kansas, Inc.

  dba Bob Wilson Memorial Hospital

  • Critical Access Hospital
  • Ulysses, KS
  • NPI 1235826454
  Care Compare affiliation
• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Care Compare affiliation

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1063807774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST STE 3B",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465685",
            "telephone_number": "620-275-3740",
            "fax_number": "620-275-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST STE D327",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023757",
            "telephone_number": "217-545-8856",
            "fax_number": "217-545-7762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 E Spruce St Ste B",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "67846",
            "country_code": "US",
            "telephone_number": "620-275-3740",
            "fax_number": "620-275-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTEM",
        "first_name": "RODRIGUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT211330",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-46768",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "125.077903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Flynn, LCSW
• Focal Point Behavioral Health PLLC
• Fawn Ann Folkerts, EC SPE ED TEACHER
• Patricia Jean Follin, LCPC
• Roland Folse, MD
• Foot & Ankle Associates of Central Il LLC
• Foot & Ankle Associates of Central Il LLC
• Foot & Ankle Center of Illinois PC
• Foot and Ankle Associates of Central Illinois LLC
• Devieanna Ameria Foote

• Surgery Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.