Individual provider Active NPI

Rodica Constantin, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1174732168
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
036125962 Issued in IL
Practice address
10287 Jamapa Dr
Las Vegas, NV 89178-4028
Phone
(410) 371-0923
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 036125962 IL Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 15017 NV

Addresses

Primary practice location

10287 Jamapa Dr
Las Vegas, NV 89178-4028

Mailing address

10287 Jamapa Dr
Las Vegas, NV 89178-4028
Phone (410) 371-0923

Other names 1

  • Rodica Vasilica Popa Former name

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
I20140103001381 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8921236530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036125962ILMDNeonatal-Perinatal Medicine Physician
15017NVMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc. Current Accepting new patients

Locations

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: rconstantin@unionhealth.cernerdirect.com

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1174732168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10287 JAMAPA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784028",
            "telephone_number": "410-371-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10287 JAMAPA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784028",
            "telephone_number": "410-371-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTIN",
        "first_name": "RODICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036125962",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NV",
            "license": "15017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODICA",
            "last_name": "POPA",
            "middle_name": "VASILICA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.