Individual provider Active NPI

Rod Leon Flynn, MD

  • Surgical Oncology Physician
  • Hampton, VA
National Provider Identifier
1548250319
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
0101240573 Issued in VA
Practice address
3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963
Phone
(757) 736-7280
Fax
(757) 224-3541
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 0101240573 VA Primary
Surgical Oncology Physician 2086X0206X D0061324 MD

Addresses

Primary practice location

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963

Mailing address

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963
Phone (757) 736-7280

Other practice location 1

2123 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2062

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rflynn67943@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070914000457 VA Practitioner - General Surgery 0244211050 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians

Practice addresses (Care Compare)

405 Chatham Heights Rd
Fredericksburg, VA 22405-2582
Phone (540) 300-6182

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy28
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061324MDMDSurgical Oncology Physician
0101240573VAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Surgical Oncology CurrentSince Jul 6, 2021 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 3, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 3, 2023 Accepting new patients
Signify Health, LLC CurrentSince Nov 15, 2024 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Dec 12, 2024 Accepting new patients
Mary Washington Hospital Inc. Past Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1101 Sam Perry Blvd
Ste 413
Fredericksburg, VA 22401
Phone (540) 374-3100

405 Chatham Heights Rd
Fredericksburg, VA 22405
Phone (540) 300-6182

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

4548 Empire Ct
Fredericksburg, VA 22408
Phone (540) 373-2244

1101 Sam Perry Blvd
Ste 203
Fredericksburg, VA 22401
Phone (540) 741-4669

3000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-7250

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1548250319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-7280",
            "fax_number": "757-224-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-7280",
            "fax_number": "757-224-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Auburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-585-2062",
            "fax_number": "513-585-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ROD",
        "middle_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VA",
            "license": "0101240573",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "D0061324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rflynn67943@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2123 Auburn Ave",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.