NPIMap

Individual provider Active NPI

Ferdinand Tabucol Roda, M.D.

  • Family Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1124127634
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-4526 Issued in AR
Practice address
1 Mercy LN
Suite 301
Hot Springs, AR 71913-6442
Phone
(501) 609-0224
Fax
(501) 609-0666
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-4526 AR Primary

Addresses

Primary practice location

1 Mercy LN
Suite 301
Hot Springs, AR 71913-6442

Mailing address

1 Mercy LN
Suite 301
Hot Springs, AR 71913-6442
Phone (501) 609-0224

Other identifiers 4

IdentifierTypeStateIssuer
123957001MedicaidAR
13278000001OtherARQUALCHOICE
5J212OtherARBLUE
DF5380OtherARRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000628 AR Practitioner - Family Practice 8729064167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Malvern Ave
Suite 303
Hot Springs, AR 71901-7778
Phone (501) 609-0224

Hospital & facility affiliations

  • Elite Home Health Home health agency, Hot Springs, AR, CCN 047151
  • Lester Dierksen Memorial Hospice, LLC Hospice, Hot Springs V, AR, CCN 041575
  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • The Springs of Park Ave Nursing home, Hot Springs, AR, CCN 045142
  • The Springs of Red Oak Nursing home, Hot Springs, AR, CCN 045404
  • Nightingale at Glenwood Nursing home, Glenwood, AR, CCN 045403
  • The Blossoms at the Village Rehab & Nursing Center Nursing home, Hot Springs, AR, CCN 045254

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Healthcenter, Inc. Family Medicine CurrentSince Jan 2, 2007 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine Past Accepting new patients
Reynolds Geriatric Apn Care, Inc PastSince Dec 3, 2012 Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1900 Malvern Ave
Ste 303
Hot Springs National Park, AR 71901
Phone (501) 609-0224

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Springs of Park AveHot Springs, AR, CCN 045142 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 31, 2022
Mar 31, 2022
Nightingale at GlenwoodGlenwood, AR, CCN 045403 Skilled nursing facility Adp of the SNF Aug 1, 2022
The Springs of Red OakHot Springs, AR, CCN 045404 Skilled nursing facility Adp of the SNF Jan 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1124127634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 301",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-609-0224",
            "fax_number": "501-609-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 301",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-609-0224",
            "fax_number": "501-609-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODA",
        "first_name": "FERDINAND",
        "middle_name": "TABUCOL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R-4526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123957001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "13278000001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "5J212",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DF5380",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.