Individual provider Active NPI

Rodney James Faulkiner, M.D.

  • Diagnostic Radiology Physician
  • Youngstown, OH
National Provider Identifier
1659622470
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
57.021284 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(248) 561-2058
NPI assigned
Sep 20, 2012
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 57.021284 OH Primary
Diagnostic Radiology Physician 2085R0202X 75634 TN

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (248) 561-2058

Other practice location 1

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, NJ, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180523002699 OH Practitioner - Diagnostic Radiology 2668749540 Reassigns benefits to 1 organization
I20250702001900 FL Practitioner - Diagnostic Radiology 2668749540 Reassigns benefits to 1 organization
I20250804003876 NJ Practitioner - Diagnostic Radiology 2668749540 Reassigns benefits to 1 organization
I20251119003786 TN Practitioner - Diagnostic Radiology 2668749540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians
Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians

Practice addresses (Care Compare)

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-9023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.021284OHMDDiagnostic Radiology Physician
75634TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Lima Radiological Associates Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jun 15, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Diagnostic Imaging Associates of North Jersey PA Past Accepting new patients

Locations

13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

L3837
Columbus, OH 43260

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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 7

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1659622470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "248-561-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "248-561-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005",
            "fax_number": "886-558-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKINER",
        "first_name": "RODNEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "57.021284",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "75634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.