Active NPI
Rodney Allen Sirk, M.D.
- Family Medicine Physician
- Fairhope, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30273
- Practice address
- 341 Greeno Rd N
Fairhope, AL 36532-2979 - Phone
- (334) 618-2237
- NPI assigned
- Mar 27, 2006
- Last updated
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30273 | AL | Primary |
| Phlebology Physician | 202K00000X | 30273 | AL |
Addresses
Primary practice location
341 Greeno Rd N
Fairhope, AL 36532-2979
Mailing address
341 Greeno Rd N
Fairhope, AL 36532-2979
Phone (334) 618-2237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-06258 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MT, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- JC Edwards School of Medicine, Marshall University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 29TH St S
Suite 201
Great Falls, MT 59405-5316
Phone (406) 727-8343
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Vein Restoration Al LLC | Current | Accepting new patients | |
| Rocky Mountain Vein Clinic, P.C. | Current | Accepting new patients | |
| Center for Vein Restoration Al LLC | Current | Accepting new patients | |
| Rocky Mountain Vein Clinic Great Falls Inc | Current | Accepting new patients | |
| Twin County Family Care Centers Inc | Past | Accepting new patients | |
| Big Sky Ultrasound LLC | Past | Accepting new patients |
Locations
3280 Ross Clark Cir
Dothan, AL 36303
Phone (334) 678-9494
2820 Central Ave
Ste A
Billings, MT 59102
Phone (406) 252-8346
1400 29th St S
Ste 201
Great Falls, MT 59405
Phone (406) 727-8343
125 W Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7129
Interoperability endpoints
- rodney.sirkmd.p3@direct.cvr.nextgenshare.com
Organizations & group practices 7
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.
-
- Surgery Physician
- Great Falls, MT
- NPI 1528413093
-
- Vascular Surgery Physician
- Dothan, AL
- NPI 1164897427
-
- Phlebology Physician
- Fairhope, AL
- NPI 1205251618
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Trussville, AL
- NPI 1417825787
-
- Clinical Medical Laboratory
- Billings, MT
- NPI 1962411983
-
- Primary Care Clinic/Center
- Galax, VA
- NPI 1023056926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1073573556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 GREENO RD N",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322979",
"telephone_number": "334-618-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 GREENO RD N",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322979",
"telephone_number": "334-618-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRK",
"first_name": "RODNEY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "30273",
"primary": true
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "AL",
"license": "30273",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "511-06258",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.