Kendall A Rodriguez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003871RX Issued in OH

Practice address

244 Wilson Dr
Xenia, OH 45385

Phone

(937) 372-1602

Fax

(937) 372-0154

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kendall A Welker Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment NPD
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment
• Premier Health Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Dayton, OH
  • NPI 1134633761
  Medicare reassignment
• Sheltering Arms Hospital Foundation, Inc.

  • General Acute Care Hospital
  • Athens, OH
  • NPI 1710913462
  Medicare reassignment
• Alliance Physicians, Inc.

  • Vascular Surgery Physician
  • Fairfield, OH
  • NPI 1235554650
  NPD

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1700211687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 MIAMISBURG CENTERVILLE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454596700",
            "telephone_number": "937-425-4020",
            "fax_number": "937-425-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILSON DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "45385",
            "telephone_number": "937-372-1602",
            "fax_number": "937-372-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KENDALL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003871RX",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krodriguez514477@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1028 Miamisburg Centerville Rd",
            "city": "Washington Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454596700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1028 Miamisburg Centerville Rd",
            "city": "Washington Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454596700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "WELKER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert T Morrison MD LLC
• Ashley Roberts
• Jenifer Robinson
• Tiffany Rockey
• Amrita Kaur Roderick, PA-C
• Jason Rollings
• Megan Ropp
• Emma Ross
• Randi Rothman, LSW
• Mason Lee Rue

• Physician Assistant in Xenia, OH
• Providers in Xenia, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.