Individual provider Active NPI

Rodney Allen Sirk, M.D.

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1073573556
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30273 Issued in AL
Practice address
341 Greeno Rd N
Fairhope, AL 36532-2979
Phone
(334) 618-2237
NPI assigned
Mar 27, 2006
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
511-06258OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MT, WY3 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
I20100923001433 AL Practitioner - Family PracticePractitioner - Other (Physician) 7517933146 Reassigns benefits to 1 organization
I20210607000760 MT Practitioner - Vascular Surgery 7517933146 Reassigns benefits to 2 organizations
I20210616001907 WY Practitioner - Vascular Surgery 7517933146 Reassigns benefits to 1 organization

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
Rocky Mountain Vein Clinic Great Falls IncGroup PAC ID 9537451083, 2 clinicians

Practice addresses (Care Compare)

1400 29TH St S
Suite 201
Great Falls, MT 59405-5316
Phone (406) 727-8343

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal151

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration Al LLC CurrentSince Sep 2, 2019 Accepting new patients
Rocky Mountain Vein Clinic, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Center for Vein Restoration Al LLC CurrentSince Sep 2, 2019 Accepting new patients
Rocky Mountain Vein Clinic Great Falls Inc CurrentSince Jul 1, 2021 Accepting new patients
Twin County Family Care Centers Inc Past Accepting new patients
Big Sky Ultrasound LLC PastSince Jul 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.