Active NPI
Rodney P Rocconi, MD
- Gynecologic Oncology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 31654
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-2005
- Fax
- (601) 815-0434
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 24356 | AL | |
| Gynecologic Oncology Physician | 207VX0201X | 31654 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
504 Clinton Center Dr Ste 4300
Clinton, MS 39056-5610
Phone (601) 815-2005
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009959195 | Medicaid | AL | |
| 051523451 | Other | AL | BLUE CROSS |
| 009932801 | Medicaid | AL | |
| 009959175 | Medicaid | AL | |
| 051524134 | Other | AL | BLUE CROSS |
| 009959185 | Medicaid | AL | |
| 051523452 | Other | AL | BLUE CROSS |
| 08359785 | Medicaid | MS | |
| 009959165 | Medicaid | AL | |
| 051523449 | Other | AL | BLUE CROSS |
| 051523450 | Other | AL | BLUE CROSS |
| 51540819 | Other | AL | BCBS |
| 009943213 | Medicaid | AL | |
| 009969165 | Medicaid | AL | |
| 051530430 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Alabama School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 W Woodrow Wilson Dr
Cancer Institute
Jackson, MS 39213
Phone (601) 815-2005
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24356 | AL | MD | Gynecologic Oncology Physician |
| 31654 | MS | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| University of South Alabama Mitchell Cancer Institute | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666
326 Commerce Center Dr
Ste 2200
Ridgeland, MS 39157
Interoperability endpoints
- rrocconi188625@ummc.direct-ci.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1447201066
-
dba USA Student Health Center
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Multi-Specialty Clinic/Center
- Saraland, AL
- NPI 1568235000
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1497859052
-
- Multi-Specialty Clinic/Center
- Mobile, AL
- NPI 1023210259
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1730131210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 CLINTON CENTER DR STE 4300",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565610",
"telephone_number": "601-815-2005",
"fax_number": "601-815-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-2005",
"fax_number": "601-815-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCCONI",
"first_name": "RODNEY",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "AL",
"license": "24356",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MS",
"license": "31654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009959195",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051523451",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932801",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009959175",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524134",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009959185",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051523452",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08359785",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009959165",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051523449",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051523450",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51540819",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009943213",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009969165",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051530430",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.