Individual provider Active NPI

Rodney Kent Bates, MD

  • Family Medicine Physician
  • Stanford, KY
National Provider Identifier
1477596542
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16326 Issued in KY
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

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64163264MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
16326KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bates Miller & Sims PLLC CurrentSince Sep 1, 2005 Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated PastSince Sep 16, 1996 Accepting new patients
Bluegrass Clinic Stanford, PLLC PastSince Aug 17, 2017 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.

FacilityTypeRoleSince
Bates, Miller & Simms, PLLCStanford, KY, CCN 183945 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.

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.

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

Verify at the official NPI Registry.