Alexis Marco Rodriguez, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

28433 Issued in WV

Practice address

1320 Maplewood Ave
Ronceverte, WV 24970-8016

Phone

(304) 793-2220

Fax

(304) 793-2277

NPI assigned

Jun 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, WV, MO, OH4 enrollments

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 4

Specialty

Emergency Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
• Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
• Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: arodriguez163341@direct.wvuhsdirect.com

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.

• Camden-Clark Physician Corporation

  • Surgery Physician
  • Parkersburg, WV
  • NPI 1710125430
  Medicare reassignment Care Compare group NPD
• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Medicare reassignment Care Compare group NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353

  KY

  Medicare reassignment Care Compare group NPD
• Princeton Community Hospital Assn Inc.

  • Urology Physician
  • Princeton, WV
  • NPI 1093917643
  Medicare reassignment NPD
• West Virginia University Hospitals Inc

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1598847634
  Medicare reassignment NPD
• Emergency Medicine Services of Ky, LLC

  • Emergency Medicine Physician
  • Bowling Green, KY
  • NPI 1033816194
  Medicare reassignment NPD
• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Washington, MO
  • NPI 1285664177

  Emergency Medicine

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Qualified Emergency Specialists Inc

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1700872728
  Medicare reassignment
• Charleston Area Medical Center, Inc.

  • Hospitalist Physician
  • Ronceverte, WV
  • NPI 1972125995

  Emergency Medicine

  NPD
• West Virginia University Hospitals, Inc.

  • Rehabilitation Hospital Unit
  • Morgantown, WV
  • NPI 1760209225
  NPD
• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD

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

• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1508160268
  Care Compare affiliation
• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • Psychiatric Hospital Unit
  • Charleston, WV
  • NPI 1265421226
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1427904002
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1508712118
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • Rehabilitation Hospital Unit
  • Charleston, WV
  • NPI 1639168693
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1689520264
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Fayetteville, WV
  • NPI 1932055589
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1952390239
  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  • Community/Retail Pharmacy
  • Charleston, WV
  • NPI 1134518186

  Hospital

  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  • Hospitalist Physician
  • Ronceverte, WV
  • NPI 1972125995
  Care Compare affiliation

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1730400136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 RIVERWATCH DR",
            "city": "VILLA HILLS",
            "state": "KY",
            "postal_code": "410173769",
            "telephone_number": "860-208-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-793-2220",
            "fax_number": "304-793-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEXIS",
        "middle_name": "MARCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-20",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "48607",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2019020860",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.127031",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "28433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Elmer Richmond II
• Benjamin Rittenhouse, DPT
• Rocky Hill Leasing Co., LLC
• Christopher Justin Rodebaugh, DDS
• Brian Rodgers
• Ronceverte Physician Group LLC
• Nicholas Aaron Rookstool
• Colin A Rose, M.D.
• John J Ryan, MD
• Kassie Sanford

• Emergency Medicine Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.
• 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.

Verify at the official NPI Registry.