Active NPI
Roderick M Relova, D.O.
- Anesthesiology Physician
- Seaford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C2-0004565
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00127343 | Other | DE | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| H0064703 | MD | MD | Anesthesiology Physician |
| U1450 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xenon Health of Delaware LLC | Anesthesiology | Current | Accepting new patients |
| Delaware Coastal Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Company, LLC | Anesthesiology | Current | 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 | Past | Accepting new patients | |
| North American Partners in Anesthesia Delaware LLC | Anesthesiology | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.