Active NPI
Rodney Kent Bates, MD
- Family Medicine Physician
- Stanford, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16326
- Practice address
- 100 Jay Street
Stanford, KY 40484-7511 - Phone
- (606) 365-1547
- Fax
- (606) 365-8380
- NPI assigned
- Jun 14, 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 | 16326 | KY | Primary |
Addresses
Primary practice location
100 Jay Street
Stanford, KY 40484-7511
Mailing address
PO Box 330
Stanford, KY 40484-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64163264 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040315000677 | KY | Practitioner - Family Practice | 6002705209 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16326 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bates Miller & Sims PLLC | Current | Accepting new patients | |
| Ephraim McDowell Regional Medical Center, Incorporated | Past | Accepting new patients | |
| Bluegrass Clinic Stanford, PLLC | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Past | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc | Family Medicine | Past | Accepting new patients |
| Ephraim McDowell Health Resource, Inc. | Family Medicine | Past | Accepting new patients |
Locations
116 Metker Trl
Stanford, KY 40484
Phone (606) 365-1547
100 Jay St
Stanford, KY 40484
Phone (606) 365-1547
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bates, Miller & Simms, PLLC | Rural health clinic | 5% Or Greater Direct Ownership Interest | May 23, 2005 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Stanford, KY
- NPI 1598869638
5% Or Greater Direct Ownership Interest
Organizations & group practices 6
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.
-
- Legal Medicine
- Stanford, KY
- NPI 1265571020
-
- Endocrinology, Diabetes & Metabolism Physician
- Danville, KY
- NPI 1174484463
Family Medicine
-
- Family Medicine Physician
- Stanford, KY
- NPI 1386799757
Family Medicine
-
- Community/Retail Pharmacy
- Danville, KY
- NPI 1831923291
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1477596542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330",
"city": "STANFORD",
"state": "KY",
"postal_code": "404840330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JAY STREET",
"city": "STANFORD",
"state": "KY",
"postal_code": "404847511",
"telephone_number": "606-365-1547",
"fax_number": "606-365-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "RODNEY",
"middle_name": "KENT",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "16326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64163264",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.