Individual provider Active NPI

Susan Rhoads, MD

  • Family Medicine Physician
  • Jenkins, KY
National Provider Identifier
1902854094
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39904 Issued in KY
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

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000715932OtherKYANTHEM - NICC
65904294MedicaidKY

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, AZ14 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
18274NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Sep 20, 2025 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.

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

Verify at the official NPI Registry.