Individual provider Active NPI

Alex Eduardo Calderon Rodriguez, M.D.

  • Nephrology Physician
  • Fort Smith, AR
National Provider Identifier
1164040077
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E-19012 Issued in AR
Practice address
7303 Rogers Ave Ste 200
Fort Smith, AR 72903-4112
Phone
(479) 274-4300
Fax
(479) 274-4399
NPI assigned
Jul 7, 2020
Reactivated
Mar 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X E-19012 AR Primary

Addresses

Primary practice location

7303 Rogers Ave Ste 200
Fort Smith, AR 72903-4112

Mailing address

7303 Rogers Ave Ste 200
Fort Smith, AR 72903-4112
Phone (479) 274-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250815002316 AR Practitioner - Nephrology 0143729202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

7303 Rogers Ave
Suite 200
Fort Smith, AR 72903-4112
Phone (479) 314-4810

Hospital & facility affiliations

  • Ft Smith Regional Dialysis Ctr Dialysis facility, Fort Smith, AR, CCN 042501
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19012ARMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7303 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 274-4300

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1164040077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034112",
            "telephone_number": "479-274-4300",
            "fax_number": "479-274-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034112",
            "telephone_number": "479-274-4300",
            "fax_number": "479-274-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON RODRIGUEZ",
        "first_name": "ALEX EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "deactivation_date": "2022-01-19",
        "reactivation_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-19012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.