Individual provider Active NPI

Kenneth Franklin Rodgers, MD

  • Gastroenterology Physician
  • Paragould, AR
National Provider Identifier
1689633760
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C7528 Issued in AR
Practice address
1000 W Kingshighway Ste 9
Paragould, AR 72450-4197
Phone
(870) 236-2202
Fax
(870) 236-8428
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-7528 AR
Surgery Physician 208600000X C-7528 AR
Gastroenterology Physician 207RG0100X C7528 AR Primary

Addresses

Primary practice location

1000 W Kingshighway Ste 9
Paragould, AR 72450-4197

Mailing address

1000 W Kingshighway Ste 9
Paragould, AR 72450-4197
Phone (870) 236-2202

Other identifiers 2

IdentifierTypeStateIssuer
209217702MedicaidMO
118700001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040212000349 AR Practitioner - GastroenterologyPractitioner - General PracticePractitioner - Emergency Medicine 4587558267 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7528ARMDGastroenterology Physician
C-7528ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
Piggott Community Hospital CurrentSince May 1, 2020 Accepting new patients
Piggott Community Hospital CurrentSince May 1, 2020 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Jul 8, 2016 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 22, 2016 Accepting new patients
Arkansas Methodist Hospital Corporation Past Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

310 Falls Blvd S
Wynne, AR 72396
Phone (870) 208-2151

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth F Rodgers MD PA 3 clinicians
Piggott Community Hospital 10 clinicians

Practice addresses (Care Compare)

1000 W Kingshighway
Suite 9
Paragould, AR 72450-4197
Phone (870) 236-2202

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911

1707 Linwood Dr
Suite a
Paragould, AR 72450-5365

Hospital & facility affiliations

  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • Piggott Community Hospital Hospital, Piggott, AR, CCN 041330
  • Crossridge Community Hospital Hospital, Wynne, AR, CCN 041307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy119
Upper gastrointestinal (GI) endoscopy for acid reflux97

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1689633760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 9",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-236-2202",
            "fax_number": "870-236-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 9",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-236-2202",
            "fax_number": "870-236-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KENNETH",
        "middle_name": "FRANKLIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-7528",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C-7528",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "C7528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209217702",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118700001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.