Dr Kelly M Rodriguez, MD - Medicare Family Practice in Ashburn, VA

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Dr Kelly M Rodriguez, MD is a medicare enrolled "Family Medicine" physician in Ashburn, Virginia. He went to Temple University School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairfax Family Practice Centers Pc, Legacy Healthcare Services Inc and his current practice location is 20905 Professional Plz, Ste 330, Ashburn, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 726-0003.

Dr Kelly M Rodriguez is licensed to practice in Virginia (license number 0101231491) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568455103.

Contact Information

Dr Kelly M Rodriguez, MD
20905 Professional Plz, Ste 330,
Ashburn, VA 20147-7783
(703) 726-0003
(703) 726-6444

Map and Direction




Physician's Profile

Full NameDr Kelly M Rodriguez
GenderMale
SpecialityFamily Practice
Experience26 Years
Location20905 Professional Plz, Ashburn, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly M Rodriguez attended and graduated from Temple University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1568455103
  • Provider Enumeration Date: 08/30/2005
  • Last Update Date: 10/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7719975234
  • Enrollment ID: I20040504000622

Medical Identifiers

Medical identifiers for Dr Kelly M Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568455103NPI-NPPES
05647096MedicaidVA
P00010206OtherRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101231491 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alternate Solutions Home Health-fairfaxFairfax, VAHome health agency
First Choice Home CareSterling, VAHome health agency
Horizons Healthcare Services LlcFairfax, VAHome health agency
Caregivers Home Health Services, IncTysons, VAHome health agency
Inova Loudoun HospitalLeesburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairfax Family Practice Centers Pc4082513031106
Legacy Healthcare Services Inc21633397223431

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelly M Rodriguez allows following entities to bill medicare on his behalf.
Entity NameFairfax Family Practice Centers PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205944964
PECOS PAC ID: 4082513031
Enrollment ID: O20050922001067
Entity NameInova Physician Partners LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215264916
PECOS PAC ID: 2466581772
Enrollment ID: O20110519000499
Entity NamePrivia Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly M Rodriguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Ashburn, VA

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
Neelima R Marpu, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 433810 Central Station Dr Ste 160, Ashburn, VA 20147
Phone: 301-519-2118    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.