Individual provider Active NPI

Leticia Rolon, M.D.

  • Nephrology Physician
  • Rochester, MN
National Provider Identifier
1336464023
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
74400 Issued in MN
Practice address
200 1St St SW # C443
Rochester, MN 55905-0532
Phone
(507) 284-2511
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A119691 CA
Nephrology Physician 207RN0300X 74400 MN Primary

Addresses

Primary practice location

200 1St St SW # C443
Rochester, MN 55905-0532

Mailing address

200 1St St SW # C443
Rochester, MN 55905-0532
Phone (507) 284-2511

Other practice location 1

521 Parnassus Ave
C443
San Francisco, CA 94143-0532
Phone (415) 476-1812

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lrolon1954890@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130625000513 CA Practitioner - NephrologyPractitioner - Internal Medicine 0244479186 Reassigns benefits to 5 organizations
I20230830002165 MN Practitioner - Nephrology 0244479186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74400MNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jul 18, 2023 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Mayo Clinic Current Accepting new patients
Regents of the University of California Nephrology CurrentSince Sep 1, 2013 Accepting new patients
Mayo Clinic CurrentSince Jul 18, 2023 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Nephrology CurrentSince Mar 1, 2017 Accepting new patients
University of California San Francisco Nephrology CurrentSince Jul 1, 2016 Accepting new patients
UCSF Medical Group Business Services Nephrology CurrentSince Jul 1, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2016 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2013 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2016 Accepting new patients
University of California San Francisco Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

521 Parnassus Ave
#C443
San Francisco, CA 94143
Phone (415) 476-1812

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
Bldg 100
San Francisco, CA 94110
Phone (415) 476-4617

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

200 1st St SW
#C443
Rochester, MN 55905

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1336464023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW # C443",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050532",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW # C443",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050532",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Parnassus Ave",
            "address_2": "C443",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941430532",
            "country_code": "US",
            "telephone_number": "415-476-1812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLON",
        "first_name": "LETICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A119691",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "74400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrolon1954890@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW # C443",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.