Individual provider Active NPI

Patricia Jo Rodgers, D.O.

  • Family Medicine Physician
  • Colonial Heights, VA
National Provider Identifier
1073531604
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
102203617 Issued in VA
Practice address
524 Southpark Blvd
Colonial Heights, VA 23834-3609
Phone
(517) 887-1713
Fax
(517) 887-9277
NPI assigned
Jul 18, 2006
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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 102203617 VA Primary

Addresses

Primary practice location

524 Southpark Blvd
Colonial Heights, VA 23834-3609

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (804) 504-7980

Other practice location 1

6350 Hull Street Rd.
Richmond, VA 23224-2636
Phone (804) 674-3425 ext. 74755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170823000749 VA Practitioner - Family Practice 8921370198 Reassigns benefits to 2 organizations
I20220203001109 FL Practitioner - Family Practice 8921370198
I20220831002754 DC Practitioner - Family Practice 8921370198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

4995 Westone Plaza
N VA Carenow Urgent Care
Chantilly, VA 20151-2294
Phone (571) 441-3980

6100 Harbourside Centre Loop
Midlothian, VA 23112-2170
Phone (804) 639-7555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102203617VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Mary Washington Healthcare Physicians Family Medicine CurrentSince Mar 16, 2022 Accepting new patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Aug 17, 2022 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Mar 16, 2022 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

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

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

12006 Kilarney Dr
Fredericksburg, VA 22407
Phone (540) 786-9273

6100 Harbourside Centre Loop
Midlothian, VA 23112
Phone (804) 639-7555

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

6530 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

6550 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

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

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1073531604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "804-504-7980",
            "fax_number": "804-504-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343609",
            "telephone_number": "517-887-1713",
            "fax_number": "517-887-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 Hull Street Rd.",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232242636",
            "country_code": "US",
            "telephone_number": "804-674-3425 x74755",
            "fax_number": "804-674-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "PATRICIA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "102203617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.