Active NPI
Susan Rhoads, MD
- Family Medicine Physician
- Jenkins, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39904
- Practice address
- 9480 Highway 805
Jenkins, KY 41537-8182 - Phone
- (606) 832-2171
- Fax
- (606) 832-2943
- NPI assigned
- May 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP381 | KY | |
| Family Medicine Physician | 207Q00000X | 39904 | KY | Primary |
Addresses
Primary practice location
9480 Highway 805
Jenkins, KY 41537-8182
Mailing address
PO Box 472
Jenkins, KY 41537-0472
Phone (606) 832-2171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000715932 | Other | KY | ANTHEM - NICC |
| 65904294 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, MN, GA, AL, ME, VT, KS, IL, WV, NV, TN, NH, WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 14
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051025000298 | KY | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20090310000499 | MN | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20210803001559 | GA | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20210902002007 | AL | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20210917000303 | ME | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20210922001558 | VT | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20210928002117 | KS | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20230719000840 | IL | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20230802003283 | WV | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20230804003144 | NV | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20230807001530 | TN | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20230811001753 | NH | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20230825002527 | WA | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
| I20230829000989 | AZ | Practitioner - Family Practice | 9234156787 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18274 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Family Medicine | Current | Accepting new patients |
| Jenkins Healthcare Company Inc | Past | Accepting new patients | |
| Jenkins Community Hospital Dba Jenkins Community Hospital | Past | Accepting new patients |
Locations
8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238
12550 W Explorer Dr
Ste 100
Boise, ID 83713
801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833
2900 SW Wanamaker Dr
Ste 204
Topeka, KS 66614
Phone (415) 742-8411
7 Saint Paul St
Ste 820
Baltimore, MD 21202
Phone (800) 370-6351
45 Memorial Cir
Augusta, ME 04330
Phone (855) 270-3624
2345 Rice St
Ste 230
Roseville, MN 55113
Phone (612) 317-3000
10 Ferry St
Ste 313
Concord, NH 03301
Phone (617) 249-6854
2908 Poston Ave
Nashville, TN 37203
Phone (651) 342-1039
100 N Main St
Ste 2
Barre, VT 05641
300 Deschutes Way SW
Ste 208
Tumwater, WA 98501
Phone (617) 249-6854
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.
-
- General Practice Physician
- Portola Valley, CA
- NPI 1518330539
AL, AZ, GA, IL, KS, KY, ME, MN, NH, NV, TN, VT, WA, WV
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
Family Medicine
-
- Clinic/Center
- Elkhorn City, KY
- NPI 1922143213
-
- Critical Access Hospital
- Jenkins, KY
- NPI 1790743607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1902854094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 472",
"city": "JENKINS",
"state": "KY",
"postal_code": "415370472",
"telephone_number": "606-832-2171",
"fax_number": "606-832-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 HIGHWAY 805",
"city": "JENKINS",
"state": "KY",
"postal_code": "415378182",
"telephone_number": "606-832-2171",
"fax_number": "606-832-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADS",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP381",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "39904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NICC",
"identifier": "000000715932",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65904294",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jenkins, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.