| Dr Kelly M Rodriguez, MD | |
|
20905 Professional Plz, Ste 330, Ashburn, VA 20147-7783 | |
| (703) 726-0003 | |
| (703) 726-6444 |
| Full Name | Dr Kelly M Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 20905 Professional Plz, Ashburn, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568455103 | NPI | - | NPPES |
| 05647096 | Medicaid | VA | |
| P00010206 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101231491 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Physician Partners Llc | 2466581772 | 311 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Inova Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20110519000499 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly M Rodriguez, MD 950n Glebe Rd 4000, Arlington, VA 22203-1824 Ph: (571) 295-7514 | Dr Kelly M Rodriguez, MD 20905 Professional Plz, Ste 330, Ashburn, VA 20147-7783 Ph: (703) 726-0003 |
Dr. David Leng, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43480 Yukon Dr, Ashburn, VA 20147 Phone: 571-252-6000 | |
Dr. Deevya L Narayanan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21170 Ashby Ponds Blvd, Ashburn, VA 20147 Phone: 571-291-6131 | |
Dr. Afzal Unissa Rasheed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21785 Filigree Ct, Suite 100, Ashburn, VA 20147 Phone: 703-554-1100 Fax: 703-554-1110 | |
Jennifer Kugler, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 21785 Filigree Ct, Suite 100, Ashburn, VA 20147 Phone: 703-554-1120 Fax: 703-554-1058 | |
Dr. Mary R Renard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 Phone: 703-726-0003 Fax: 703-726-6444 | |
Carol Elizabeth Mattes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 21785 Filigree Ct, Ashburn, VA 20147 Phone: 703-554-1100 Fax: 703-430-6985 | |
Dr. Danny Nguyen Thach-song, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22505 Landmark Ct Ste 210, Ashburn, VA 20148 Phone: 571-612-6600 Fax: 571-612-6601 |