NPIMap

Individual provider Active NPI

Melissa Marie Rodgers, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Modesto, CA
National Provider Identifier
1659534535
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A110503 Issued in CA
Practice address
4301 Northstar Way
Modesto, CA 95356
Phone
(209) 577-1200
Fax
(209) 577-6517
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A110503 CA Primary

Addresses

Primary practice location

4301 Northstar Way
Modesto, CA 95356

Mailing address

PO Box 576768
Modesto, CA 95357-6768
Phone (209) 577-1200

Other practice location 1

4301 Northstar Way
Modesto, CA 95356
Phone (209) 577-1200

Other practice location 2

4 Medical Plaza Suite 205
Roseville, CA 95661
Phone (209) 577-1200

Other names 1

  • Melissa Marie Rodgers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20121010000260 CA Practitioner - Pathology 0840449757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yosemite Pathology Medical Group IncGroup PAC ID 3072415751, 45 clinicians

Practice addresses (Care Compare)

4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
84.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110503CAMDClinical Social Worker
A110503CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lucent Pathology Partners, Inc Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2017 Accepting new patients
Sierra Nevada Gastroenterology Medical Associates, Inc. CurrentSince Apr 8, 2017 Accepting new patients
Capitol Gastroenterology Consultants Medical Group, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Yosemite Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2013 Accepting new patients
Yosemite Pathology Medical Group, in Past Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

300 Sierra College Dr
Ste 105
Grass Valley, CA 95945
Phone (530) 272-0527

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

3172 Collins Dr
Ste B
Merced, CA 95348
Phone 2095771200220

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

4301 N Star Way
Modesto, CA 95356
Phone 2095771200 ext. 212

4301 N Star Way
Ste A
Modesto, CA 95356

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

4 Medical Plaza Dr
Ste 205
Roseville, CA 95661
Phone (916) 773-6200

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1659534535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576768",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576768",
            "telephone_number": "209-577-1200",
            "fax_number": "209-577-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95356",
            "telephone_number": "209-577-1200",
            "fax_number": "209-577-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Northstar Way",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95356",
            "country_code": "US",
            "telephone_number": "209-577-1200",
            "fax_number": "209-577-6517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Medical Plaza Suite 205",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95661",
            "country_code": "US",
            "telephone_number": "209-577-1200",
            "fax_number": "209-577-6517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A110503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RODGERS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.