Rafael Modesto Rodighiero, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01624 Issued in WV

Practice address

122 Nick Savas Dr
Logan, WV 25601-3468

Phone

(304) 752-8081

Fax

(304) 752-8083

NPI assigned

Mar 14, 2012

Sex

Male

Sole proprietor

No

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.

• Rodighiero Health & Wellness Center Inc

  • Family Medicine Physician
  • Chapmanville, WV
  • NPI 1922882711
  Medicare reassignment WV
• Lincoln County Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Logan, WV
  • NPI 1023331220
  NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Man, WV
  • NPI 1689997678
  NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hamlin, WV
  • NPI 1942274543
  NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gilbert, WV
  • NPI 1942523931
  NPD
• Lincoln County Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Man, WV
  • NPI 1447619416
  NPD (past)

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

• Boone Memorial Hospital, Inc

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Care Compare affiliation Hospital
• Dignity Hospice of Southern West Virginia, Inc.

  • Community Based Hospice Care Agency
  • Chapmanville, WV
  • NPI 1992846307
  Care Compare affiliation Home health agency
• Logan General Hospital LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Logan, WV
  • NPI 1295789675
  Care Compare affiliation Hospital
• Logan General Hospital LLC

  • General Acute Care Hospital
  • Logan, WV
  • NPI 1750332565
  Care Compare affiliation Hospital

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Home Health Home health agency, Chapmanville, WV, CCN 517134
• Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
• Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2013.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1881969475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NICK SAVAS DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013468",
            "telephone_number": "304-752-8081",
            "fax_number": "304-752-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIGHIERO",
        "first_name": "RAFAEL",
        "middle_name": "MODESTO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022963",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renewed Hope Counseling PLLC
• Andrea Marie Reynolds
• Cassandra Richardson, MA EDS
• James David Roark
• Herbert Alan Roberrts III, 17500000X
• Terri Lynn Rodighiero
• Jeremiah Sidney Romans
• Ghazala Quddus Roopani, MD
• Sarah Rose
• Tina Ross

• All providers in Logan, WV
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.