Active NPI
Rodney L Jones, MD
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
National Provider Identifier
1821075193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 04-20454
- Practice address
- 825 N Hillside St
Ste 200
Wichita, KS 67214-4913 - Phone
- (316) 733-9393
- Fax
- (316) 733-6116
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 04-20454 | KS | Primary |
| Anesthesiology Physician | 207L00000X | 04-20454 | KS | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 04-20454 | KS |
Addresses
Primary practice location
825 N Hillside St
Ste 200
Wichita, KS 67214-4913
Mailing address
PO Box 1039
Wichita, KS 67201-1039
Phone (316) 685-6112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100174310B | Medicaid | KS | |
| 104412 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-20454 | KS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Surgery Center, L.C. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25457/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1134109523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1821075193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1039",
"city": "WICHITA",
"state": "KS",
"postal_code": "672011039",
"telephone_number": "316-685-6112",
"fax_number": "316-652-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N HILLSIDE ST",
"address_2": "STE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144913",
"telephone_number": "316-733-9393",
"fax_number": "316-733-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RODNEY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KS",
"license": "04-20454",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "04-20454",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "KS",
"license": "04-20454",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100174310B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "104412",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.