NPIMap

Individual provider Active NPI

Rodney Jamal Kellum, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1639917529
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
327534 Issued in AZ
Practice address
7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266
Phone
(480) 420-4027
NPI assigned
Jul 16, 2024
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 230485 AR
Certified Registered Nurse Anesthetist 367500000X 327534 AZ Primary

Addresses

Primary practice location

7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266

Mailing address

305 Rock Creek Rd Apt a
Hot Springs, AR 71913-9297

Other practice location 1

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

Other practice location 2

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250107001895 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456889237 Reassigns benefits to 1 organization
I20250829003942 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456889237 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ouachita Regional Anesthesia PLLCGroup PAC ID 4183619216, 18 clinicians
Ascend Anesthesia LLCGroup PAC ID 5294246526, 76 clinicians
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Practice addresses (Care Compare)

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 923-5609

8952 E Desert Cove Ave
Suite 113
Scottsdale, AZ 85260-6776
Phone (480) 420-4027

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230485ARMDCertified Registered Nurse Anesthetist
327534AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Ouachita Regional Anesthesia PLLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

8820 Knoedl Ct
Little Rock, AR 72205
Phone (501) 224-6767

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

3591 S Mercy Rd
Ste 101
Gilbert, AZ 85297

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1639917529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ROCK CREEK RD APT A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719139297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N 16TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205266",
            "telephone_number": "480-420-4027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6644 E Baywood Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061747",
            "country_code": "US",
            "telephone_number": "480-321-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Malvern Ave",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719017752",
            "country_code": "US",
            "telephone_number": "501-321-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "RODNEY",
        "middle_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "230485",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "327534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.