Individual provider Active NPI

Brian Rodysill, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Novato, CA
National Provider Identifier
1093291635
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
A165192 Issued in CA
Practice address
100 Rowland Way Ste 300
Novato, CA 94945-5041
Phone
(415) 878-0225
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A165192 CA Primary

Addresses

Primary practice location

100 Rowland Way Ste 300
Novato, CA 94945-5041

Mailing address

100 Rowland Way Ste 300
Novato, CA 94945-5041
Phone (415) 878-0225

Other practice location 1

7100 Redwood Blvd Ste 150
Novato, CA 94945-4159
Phone (415) 878-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230713001000 CA Practitioner - Sleep Medicine 4385004019 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Mayo Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Darya Soto MD IncGroup PAC ID 4082775580, 3 clinicians

Practice addresses (Care Compare)

100 Rowland Way
Suite 300
Novato, CA 94945-5041
Phone (415) 878-0225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165192CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Sep 6, 2023 Accepting new patients
County of Santa Clara CurrentSince Sep 6, 2023 Accepting new patients
Darya Soto MD Inc Sleep Medicine CurrentSince Aug 29, 2023 Accepting new patients
County of Santa Clara CurrentSince Sep 6, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Sep 6, 2023 Accepting new patients
Darya Soto MD Inc Sleep Medicine CurrentSince Aug 29, 2023 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

7100 Redwood Blvd
Ste 150
Novato, CA 94945
Phone (415) 878-0215

100 Rowland Way
Ste 300
Novato, CA 94945
Phone (415) 697-8659

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: brodysill194841@santaclaravalley.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1093291635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROWLAND WAY STE 300",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455041",
            "telephone_number": "415-878-0225",
            "fax_number": "415-878-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROWLAND WAY STE 300",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455041",
            "telephone_number": "415-878-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Redwood Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949454159",
            "country_code": "US",
            "telephone_number": "415-878-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODYSILL",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A165192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.