NPIMap

Individual provider Active NPI

Rodney A Engel, M.D.

  • Gastroenterology Physician
  • Flagstaff, AZ
National Provider Identifier
1659351187
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
36012 Issued in AZ
Practice address
77 W Forest Ave
Suite 210
Flagstaff, AZ 86001-1479
Phone
(928) 773-2547
Fax
(928) 773-2548
NPI assigned
Jan 19, 2006
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36012 AZ
Gastroenterology Physician 207RG0100X 36012 AZ Primary

Addresses

Primary practice location

77 W Forest Ave
Suite 210
Flagstaff, AZ 86001-1479

Mailing address

77 W Forest Ave
Suite 210
Flagstaff, AZ 86001-1479
Phone (928) 773-2547

Other identifiers 2

IdentifierTypeStateIssuer
P00624786OtherAZRAILROAD MEDICARE
340466MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080623000101 AZ Practitioner - Internal Medicine 4688745441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flagstaff Surgical Associates PAGroup PAC ID 6901880210, 32 clinicians

Practice addresses (Care Compare)

77 W Forest Ave
Suite 201
Flagstaff, AZ 86001-1483
Phone (928) 773-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy256
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Surgical Associates PA CurrentSince Dec 11, 2024 Accepting new patients
Northern Arizona Gastroenterology Gastroenterology CurrentSince Jul 19, 2013 Accepting new patients

Locations

77 W Forest Ave
Ste 107
Flagstaff, AZ 86001
Phone (520) 773-2530

77 W Forest Ave
Ste 201
Flagstaff, AZ 86001
Phone (928) 773-2222

77 W Forest Ave
Ste 210
Flagstaff, AZ 86001
Phone (602) 773-2547

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJDHBD

Organizations & group practices 2

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 6

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1659351187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "SUITE 210",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2547",
            "fax_number": "928-773-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "SUITE 210",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2547",
            "fax_number": "928-773-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "RODNEY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36012",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "36012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00624786",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340466",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.