Active NPI
Kevin M Rhodus, CRNA
- Certified Registered Nurse Anesthetist
- Taos, NM
National Provider Identifier
1962476739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C-APN.0000892-C-CRNA
- Practice address
- 1397 Weimer Rd
Taos, NM 87571-6253 - Phone
- (575) 758-8883
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C-APN.0000892-C-CRNA | CO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R54743 | NM |
Addresses
Primary practice location
1397 Weimer Rd
Taos, NM 87571-6253
Mailing address
6 Wapiti Loop
Taos, NM 87571-7124
Phone (505) 947-6660
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10020355 | Other | NM | LOVELACE HP |
| 59332841 | Medicaid | CO | |
| T0426 | Medicaid | UT | |
| 956899 | Medicaid | AZ | |
| 202000353 | Other | NM | PRESBYTERIAN HP |
| NM006B15 | Other | NM | BCBS |
| 9829750 | Medicaid | NM | |
| P00329269 | Other | NM | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 E 20TH St
Suite a
Farmington, NM 87401-9039
Phone (505) 326-6400
575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537
Hospital & facility affiliations
- Animas Surgical Hospital, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.64 of 100
- Quality
- 78.78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0000892-C-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Anesthesia, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Past | Accepting new patients |
Locations
1515 E 20th St
Ste A
Farmington, NM 87401
Phone (505) 326-6400
801 W Maple St
#Four
Farmington, NM 87401
Phone (505) 326-6400
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1093758831
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Durango, CO
- NPI 1861721714
-
- Pediatrics Physician
- Farmington, NM
- NPI 1093800534
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1962476739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WAPITI LOOP",
"city": "TAOS",
"state": "NM",
"postal_code": "875717124",
"telephone_number": "505-947-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 WEIMER RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716253",
"telephone_number": "575-758-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODUS",
"first_name": "KEVIN",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "C-APN.0000892-C-CRNA",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R54743",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HP",
"identifier": "10020355",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59332841",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T0426",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "956899",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HP",
"identifier": "202000353",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM006B15",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9829750",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00329269",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.