Active NPI
Kerry Rhodes, M.D.
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1083697593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J0217
- Practice address
- 631 W 38TH St
#2
Austin, TX 78705-1250 - Phone
- (512) 459-3177
- Fax
- (512) 459-9341
- NPI assigned
- Nov 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J0217 | TX | Primary |
Addresses
Primary practice location
631 W 38TH St
#2
Austin, TX 78705-1250
Mailing address
PO Box 52001
Dept 936
Phoenix, AZ 85072-2001
Phone (512) 459-3177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088AR | Other | BCBS | |
| 122412100 | Other | FIRST CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050708000659 | TX | Practitioner - Family Practice | 0244266567 | Practice locations: Austin, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
631 W 38TH St
Austin, TX 78705-1226
Phone (512) 459-3177
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1083697593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52001",
"address_2": "DEPT 936",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850722001",
"telephone_number": "512-459-3177",
"fax_number": "512-459-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 W 38TH ST",
"address_2": "#2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051250",
"telephone_number": "512-459-3177",
"fax_number": "512-459-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "KERRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J0217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0088AR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "122412100",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.