DR. KELLY M RODRIGUEZ MD NPI 1568455103

NPI Details

DR. Kelly M Rodriguez, MD is a family medicine in Ashburn, VA with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kelly M Rodriguez, MD NPI is 1568455103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

20905 PROFESSIONAL PLZ
STE 330
ASHBURN, VA
ZIP 20147-783
Phone: (703) 726-0003
Fax: (703) 726-6444

The NPI 1568455103 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Hemoglobin a1c level (HCPCS:83036)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Transitional care management services for problem of moderate complexity (HCPCS:99495)
• Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
• Urinalysis, manual test (HCPCS:81002)
• Urine microalbumin (protein) analysis (HCPCS:82044)

The enumeration date for this NPI number is 8/30/2005 and was last updated on 10/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.