Active NPI
Audrik L Perez-Rodriguez, MD
- Medical Oncology Physician
- Garden City, KS
National Provider Identifier
1831573294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 04-46375
- Practice address
- 410 E Spruce St
Garden City, KS 67846-5659 - Phone
- (620) 272-2579
- Fax
- (620) 272-2685
- NPI assigned
- Jul 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 04-46375 | KS | Primary |
Addresses
Primary practice location
410 E Spruce St
Garden City, KS 67846-5659
Mailing address
410 E Spruce St
Garden City, KS 67846-5659
Phone (620) 272-2579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220728003344 | KS | Practitioner - Medical Oncology | 5799024279 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Care PA
Practice addresses (Care Compare)
204 Cleveland St
Great Bend, KS 67530-3563
Phone (620) 792-5511
Hospital & facility affiliations
- St. Catherine Hospital - Garden City
- Bob Wilson Memorial Hospital
- Centura St. Catherine-Dodge City
- Southwest Medical Center
- Satanta District Hospital, Clinics, & Ltcu
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- Quality
- 81.09
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Care, PA | Medical Oncology | Current | Accepting new patients |
| Central Care PA | Current | Accepting new patients | |
| Central Care, PA | Medical Oncology | Past | Accepting new patients |
Locations
410 E Spruce St
Garden City, KS 67846
Phone (620) 272-2102
204 Cleveland St
Great Bend, KS 67530
Phone (620) 792-5511
730 Medical Center Dr
Newton, KS 67114
Phone (316) 283-1141
2337 E Crawford St
Salina, KS 67401
Phone (785) 823-0633
Interoperability endpoints
- audrik.perezrodriguez@cccancer.ikm.direct-ci.com
Organizations & group practices 5
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.
-
- Non-Pharmacy Dispensing Site
- Great Bend, KS
- NPI 1922340223
-
- Non-Pharmacy Dispensing Site
- Bolivar, MO
- NPI 1316372154
-
- Radiation Oncology Physician
- El Dorado, KS
- NPI 1497617286
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Satanta, KS
- NPI 1740230549
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1831573294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465659",
"telephone_number": "620-272-2579",
"fax_number": "620-272-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465659",
"telephone_number": "620-272-2579",
"fax_number": "620-272-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-RODRIGUEZ",
"first_name": "AUDRIK",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "KS",
"license": "04-46375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.