Active NPI
Donald Richard Rhodes, M.D.
- Family Medicine Physician
- Centreville, VA
National Provider Identifier
1205862380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101236130
- Practice address
- 5715 Centre Square Dr
Centreville, VA 20120-1916 - Phone
- (703) 631-5151
- Fax
- (703) 631-9754
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101236130 | VA | Primary |
Addresses
Primary practice location
5715 Centre Square Dr
Centreville, VA 20120-1916
Mailing address
5715 Centre Square Dr
Centreville, VA 20120-1916
Phone (703) 631-5151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5025521 | Other | VA | CIGNA ID NUMBER |
| 7397552 | Other | VA | AETNA ID NUMBER |
| 138925 | Other | VA | ANTHEM ID |
| J992 | Other | VA | CARE FIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1205862380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 CENTRE SQUARE DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201916",
"telephone_number": "703-631-5151",
"fax_number": "703-631-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 CENTRE SQUARE DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201916",
"telephone_number": "703-631-5151",
"fax_number": "703-631-9754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "DONALD",
"middle_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101236130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID NUMBER",
"identifier": "5025521",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID NUMBER",
"identifier": "7397552",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID",
"identifier": "138925",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "J992",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.