NPIMap

Individual provider Active NPI

Kevin F Rodowicz, DO

  • Family Medicine Physician
  • Orefield, PA
National Provider Identifier
1821053166
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009787L Issued in PA
Practice address
3560 Route 309
Orefield, PA 18069-2001
Phone
(610) 398-2600
Fax
(610) 398-0240
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009787L PA Primary

Addresses

Primary practice location

3560 Route 309
Orefield, PA 18069-2001

Mailing address

801 Ostrum St
Enrollment Center
Bethlehem, PA 18015-1000
Phone (610) 398-2600

Other identifiers 1

IdentifierTypeStateIssuer
0017513610001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000192 PA Practitioner - Family Practice 1557556958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

3560 Route 309
Orefield, PA 18069-2001
Phone (610) 398-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009787LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Dec 18, 1998 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine CurrentSince Dec 18, 1998 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

798 Hausman Rd
Ste 240
Allentown, PA 18104
Phone (484) 223-3300

723 Chestnut St
Emmaus, PA 18049
Phone (610) 965-7737

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

3560 Route 309
Orefield, PA 18069
Phone (610) 398-2600

Organizations & group practices 4

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1821053166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "ENROLLMENT CENTER",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-398-2600",
            "fax_number": "610-398-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 ROUTE 309",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692001",
            "telephone_number": "610-398-2600",
            "fax_number": "610-398-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOWICZ",
        "first_name": "KEVIN",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009787L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017513610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orefield, PA

Sources for this page

Verify at the official NPI Registry.