Jesus Alfredo Montes Rodarte, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006984 Issued in OH

Practice address

13207 Ravenna Rd
Chardon, OH 44024-7032

Phone

(440) 285-6000

NPI assigned

Jun 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmontes28430@ehrdirect.uhhospitals.org

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Uh Regional Hospitals

  dba Geauga House Providers

  • Nurse Practitioner
  • Chardon, OH
  • NPI 1962886002
  Medicare reassignment
• The Cleveland Clinic Foundation

  • Family Medicine Physician
  • Avon, OH
  • NPI 1184428336
  NPD
• Uh Regional Hospitals

  dba UH Geauga Medical Center, A Campus of UH Regional Hospitals

  • Psychiatric Hospital Unit
  • Chardon, OH
  • NPI 1780762120
  NPD

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1144897539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30911 ROOSEVELT RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921030",
            "telephone_number": "859-409-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES RODARTE",
        "first_name": "JESUS",
        "middle_name": "ALFREDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Moller, DO
• Dustin Molyneux
• Renee R Molzon, MSSA, LISW
• Giovanna Mona
• Michelle Ora Monkiewicz, DPT
• Erin Trenace Mooneesawmy
• Emily Kay Mooney, PHARMD
• Erin Marie Moore, LPCC
• Mariah Janine Moore, SWT
• Rebecca Moore, SWT

• Physician Assistant in Chardon, OH
• Providers in Chardon, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.