Individual provider Active NPI

Roderick M Relova, D.O.

  • Anesthesiology Physician
  • Seaford, DE
National Provider Identifier
1073532214
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C2-0004565 Issued in DE
Practice address
13 Fallon Ave
Seaford, DE 19973-1577
Phone
(302) 629-7177
Fax
(302) 629-7677
NPI assigned
Jul 19, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H0064703 MD
Anesthesiology Physician 207L00000X U1450 TX
Anesthesiology Physician 207L00000X C2-0004565 DE Primary

Addresses

Primary practice location

13 Fallon Ave
Seaford, DE 19973-1577

Mailing address

123 Steffens Blvd
Camden Wyoming, DE 19934-9659
Phone (302) 331-4004

Other identifiers 1

IdentifierTypeStateIssuer
P00127343OtherDERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20040319001036 DE Practitioner - Anesthesiology 4385534403 Reassigns benefits to 3 organizations
I20080403000396 MD Practitioner - Anesthesiology 4385534403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

11103 Cathage Rd
Berlin, MD 21811-2114
Phone (410) 847-7900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0064703MDMDAnesthesiology Physician
U1450TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xenon Health of Delaware LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Delaware Coastal Anesthesia LLC Anesthesiology CurrentSince Aug 11, 2003 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Peninsula Endoscopy Center, LLC Past Accepting new patients
Tri-State Anesthesia Associates LLC Anesthesiology Past Accepting new patients
Dover Ophthalmology ASC, LLC Past Accepting new patients
Seaford Endoscopy Center LLC PastSince Mar 17, 2024 Accepting new patients
North American Partners in Anesthesia Delaware LLC Anesthesiology PastSince Sep 20, 2009 Accepting new patients
Anestahealth, P.a. Anesthesiology Past Accepting new patients

Locations

655 S Bay Rd
Ste 5B
Dover, DE 19901
Phone (302) 678-4688

13 Fallon Ave
Seaford, DE 19973
Phone (302) 629-2229

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

300 Delaware Ave
Ste 210
Wilmington, DE 19801
Phone (516) 458-4366

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

11103 Cathage Rd
Berlin, MD 21811
Phone (410) 543-9332

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

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, 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1073532214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 STEFFENS BLVD",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199349659",
            "telephone_number": "302-331-4004",
            "fax_number": "302-698-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 FALLON AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731577",
            "telephone_number": "302-629-7177",
            "fax_number": "302-629-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELOVA",
        "first_name": "RODERICK",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "H0064703",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "U1450",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C2-0004565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00127343",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.