Active NPI
Byron H Rodas, PA
- Physician Assistant
- Poughkeepsie, NY
National Provider Identifier
1912139957
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005074
- Practice address
- 241 North Rd
Poughkeepsie, NY 12601-1154 - Phone
- (845) 483-5100
- NPI assigned
- Aug 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005074 | NY | Primary |
Addresses
Primary practice location
241 North Rd
Poughkeepsie, NY 12601-1154
Mailing address
141 Hosner Mountain Rd
Hopewell JCT, NY 12533-6624
Phone (845) 226-8043
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005074 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249776000000",
"number": "1912139957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 HOSNER MOUNTAIN RD",
"city": "HOPEWELL JCT",
"state": "NY",
"postal_code": "125336624",
"telephone_number": "845-226-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011154",
"telephone_number": "845-483-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODAS",
"first_name": "BYRON",
"middle_name": "H",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-09",
"last_updated": "2009-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.