Individual provider Active NPI

Andre Deshawn Rogers Sr.

  • Case Manager/Care Coordinator
  • Cincinnati, OH
National Provider Identifier
1689454712
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7373 Brookcrest Dr Ste 354
Cincinnati, OH 45237-3448
Phone
(513) 802-5642
NPI assigned
Oct 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7373 Brookcrest Dr Ste 354
Cincinnati, OH 45237-3448

Mailing address

10255 Storm Dr
Cincinnati, OH 45251-1255
Phone (513) 400-9111

Other practice location 1

10255 Storm Dr
Cincinnati, OH 45251-1255
Phone (513) 400-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Shuttle Service LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

7373 Brookcrest Dr
Ste 354
Cincinnati, OH 45237
Phone (513) 289-0395

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1689454712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 STORM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511255",
            "telephone_number": "513-400-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 BROOKCREST DR STE 354",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373448",
            "telephone_number": "513-802-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10255 Storm Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452511255",
            "country_code": "US",
            "telephone_number": "513-400-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ANDRE",
        "middle_name": "DESHAWN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.