Active NPI
Joshua Aaron Rodocker, D.O.
- Child & Adolescent Psychiatry Physician
- Lexington, KY
National Provider Identifier
1972744712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 03455
- Practice address
- 2400 Greatstone Point
Lexington, KY 40536-8339 - Phone
- (859) 323-5962
- NPI assigned
- Mar 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N/A | KY | |
| Psychiatry Physician | 2084P0800X | N/A | KY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 03455 | KY | Primary |
Addresses
Primary practice location
2400 Greatstone Point
Lexington, KY 40536-8339
Mailing address
400 Cunningham Way
Danville, KY 40422-8339
Phone (859) 936-3511
Other practice location 1
400 Cunningham Way
Danville, KY 40422-8339
Phone (859) 936-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100249930 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2021 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | KY | MD | Gastroenterology Physician |
| 03455 | KY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jrodocker20674@ukhcdirect.org
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Erlanger, KY
- NPI 1528466877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1972744712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CUNNINGHAM WAY",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404228339",
"telephone_number": "859-936-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 GREATSTONE POINT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405368339",
"telephone_number": "859-323-5962"
}
],
"practiceLocations": [
{
"address_1": "400 Cunningham Way",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "KY",
"postal_code": "404228339",
"country_code": "US",
"telephone_number": "859-936-3511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODOCKER",
"first_name": "JOSHUA",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "N/A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "N/A",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "KY",
"license": "03455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100249930",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.