Individual provider Active NPI

Natalya Rodionova, M.D., D.O

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1679654768
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218804 Issued in NY
Practice address
2109 Matthews Ave
Bronx, NY 10462-2600
Phone
(718) 794-1000
Fax
(718) 794-5264
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218804 NY Primary

Addresses

Primary practice location

2109 Matthews Ave
Bronx, NY 10462-2600

Mailing address

2109 Matthews Ave
Bronx, NY 10462-2600
Phone (718) 794-1000

Other identifiers 1

IdentifierTypeStateIssuer
02215492MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080305000497 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Obstetrics/GynecologyPractitioner - Physical Medicine and RehabilitationPractitioner - Pediatric MedicinePractitioner - Geriatric Medicine 0840375572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (718) 805-1499

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rodionova Medical Services PC Family Medicine CurrentSince Jul 25, 2019 Accepting new patients

Locations

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1679654768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 MATTHEWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622600",
            "telephone_number": "718-794-1000",
            "fax_number": "718-794-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 MATTHEWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622600",
            "telephone_number": "718-794-1000",
            "fax_number": "718-794-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIONOVA",
        "first_name": "NATALYA",
        "name_prefix": "Dr.",
        "credential": "M.D., D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02215492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.